Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . The heart size is of the upper limit of normal variation . There is relative prominence of the left ventricular contour to the left , a finding which suggests mild enlargement of the left ventricle . There is , however , no conclusive evidence for left atrial enlargement or pulmonary congestion . The thoracic aorta is mildly widened and elongated , but no local contour abnormalities are seen . No evidence of acute pulmonary infiltrates on either side and the lateral and posterior pleural sinuses remain free . Surgical clips are identified in the right upper abdominal quadrant indicative of previous cholecystectomy . Additional surgical clips overlying left upper abd . area indicative of previous hiatal hernia repair . When comparison is made with the next preceding chest examination of ___ , two at that time suspected nodular lesions in the left upper lobe area can not be identified . They were already excluded by a chest CT examination of ___ . CT examination also shows that the patient was status post left - sided nephrectomy for renal cell carcinoma which explains the described densities in the left upper quadrant area .
    OUTPUT:
    
Mild cardiac enlargement with cardiac configuration suggestive of systemic hypertension but no signs of acute failure , pulmonary congestion , or acute infiltrates . No pleural effusions .