Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are provided . The heart is borderline enlarged . The lungs appear clear without focal consolidation , effusion , or pneumothorax . Bony structures are intact . No free air below the right hemidiaphragm . Multiple surgical clips are again noted in the upper abdomen .
    OUTPUT:
    
Borderline cardiomegaly , unchanged . Otherwise , unremarkable .