Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Note is again made of a round , well - circumscribed density in the left mediastinum filling the aortopulmonary window , which corresponds to the patient 's known pseudoaneurysm . The pseudoaneurysm measures approximately 5 .5 x 4 .3 cm on today 's examination compared to 4 .2 x 3 .4 cm when measured in a similar plane on coronal imaging . The mediastinum is not indistinct in comparison to the prior CT . The trachea remains focally deviated to the right . A small meniscus in the left lung base corresponds to epicardial fat on the prior CT . No significant pleural effusion is present . Indistinct nodular opacities projected over the right upper lung zone , which may be vascular . A bulla is present in the left lung apex on the prior CT . The cardiac silhouette is moderately to severely enlarged but unchanged .
    OUTPUT:
    
1 . Possible increase in size of thoracic aortic pseudo aneurysm from ___ but no other widening or indistinctness of the mediastinum to suggest acute rupture . Followup with CTA is in process . 2 . Stable moderate to severe cardiomegaly . Findings were communicated by Dr . ___ to Dr . ___ ___ telephone at the time of study interpretation at 1 :00 PM on ___ .