Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mild to moderately enlarged . The aorta is again markedly tortuous . The cardiac , mediastinal and hilar contours appear stable . There is minimal scarring or atelectasis that appears new in the lingula as well as a probable new very small pleural effusion on the right side . Otherwise , lungs appear clear .
    OUTPUT:
    
Minor scarring or this cysts in the lingula . Very small new right - sided pleural effusion . Otherwise no significant change .