Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is top - normal in size . The hilar and mediastinal contours are unchanged including dilated main pulmonary artery up to 4 .5 cm is demonstrated on the recent chest CT , concerning for pulmonary hypertension . There is no focal consolidation , pleural effusion or pneumothorax . Multiple surgical clips project over the right chest wall .
    OUTPUT:
    
No acute cardiopulmonary process .