Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low inspiratory volumes and underpenetration due to overlying soft tissues . Allowing for this , there is moderate to moderately severe cardiomegaly , straightening of left heart border trauma and effacement of the AP window . Mild prominence the right hilum is noted , but is likely accentuated by low inspiratory volumes . There is upper zone redistribution . There may be mild vascular plethora , but this is likely accentuated by low inspiratory volumes and underpenetration . No gross s right - sided effusion . The left costophrenic sulcus is clear . Minimal bibasilar atelectasis No calcified lymph nodes , apical scarring , hilar retraction and / or obvious calcified granuloma identified .
    OUTPUT:
    
Limited evaluation due to low inspiratory volumes , underpenetration and absence of lateral view . Moderate to moderately severe cardiomegaly . Mild vascular plethora , without other evidence of CHF . No definite infiltrate . No gross effusion . If there is clinical concern for detailed evaluation of the mediastinum and hila , then cross-sectional imaging would help for further assessment .