Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Spinal hardware partially visualized extending from the lower thoracic inferiorly to the lumbar spine . Clips are noted in the upper abdomen . The heart appears top - normal in size . There is prominence of the main pulmonary artery contour which was also seen on prior CT chest and raises concern for pulmonary arterial hypertension . Lungs are clear . No pleural effusion or pneumothorax .
    OUTPUT:
    
Top normal heart size with prominence of the main pulmonary artery , correlate for pulmonary arterial hypertension . Otherwise unremarkable exam .