Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly , increased since ___ is exaggerated by mild pectus deformity . There are multiple healed right rib fractures . Irregular thickening of the left apicolateral pleural margin in a region of prior pleuroparenchymal scarring is more likely a mass than peripheral consolidation or infarct in the left upper lobe .
    OUTPUT:
    
No pneumonia or CHF . Possible left apical mass , would require CT for elucidation . Report was emailed to ED QA nurses for followup of patient discharged prior to final review .