Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were obtained . The patient is rotated to the left . Patient is status post median sternotomy and CABG . Stable coarse calcification projecting over the left lung apex is seen . The lungs remain hyperinflated , with flattening of the diaphragms , consistent with COPD . Mild pulmonary vascular congestion is again seen . There is persistent enlargement of the cardiac silhouette . Patient is status post median sternotomy and CABG . No definite focal consolidation is seen . Evidence of DISH is seen along the thoracic spine .
    OUTPUT:
    
Enlarged cardiac silhouette and pulmonary vascular congestion . No definite focal consolidation .