Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 12 :07 is submitted .
    OUTPUT:
    
The heart remains enlarged which may reflect cardiomegaly , although pericardial effusion should also be considered . Mediastinal contours are stable . Lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia . Streaky bibasilar opacities likely reflect scarring or atelectasis . No pneumothorax . No pulmonary edema . Degenerative changes in the spine .