Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extensive pleural disease and calcification is present . Subtle CHF may be difficult to exclude in this field of the increased interstitial markings which was present on the previous study . The interstitium markings may have increased slightly . The heart is grossly enlarged and has increased in size somewhat since the previous study . This could be due to cardiac decompensation , but a pericardial effusion might be considered . . The osseous structures are normal for age . The patient has median sternotomy closures and mediastinal clips consistent with coronary artery bypass graft .
    OUTPUT:
    
Increasing cardiac size . Extensive pleural calcification probably not greatly changed since the previous examination . However , there iis subtle increase in pulmonary density which may indicate CHF .