Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged cardiomegaly and market tortuosity of the thoracic aorta . Pulmonary vascularity is normal . No focal areas of consolidation are present within the lungs . Unchanged lateral right costophrenic sulcus blunting favors pleural thickening over a small pleural effusion
    OUTPUT:
    
Cardiomegaly without evidence of congestive heart failure . Unchanged right lateral costophrenic angle blunting , which may represent pleural thickening or small pleural effusion .