Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the cardiac silhouette with a left ventricular predominance is re - demonstrated . The mediastinal contours are unremarkable with atherosclerotic calcifications noted at the aortic arch . The pulmonary vascularity is normal . The hilar contours are unremarkable . Lungs are clear without focal consolidation , pleural effusion or pneumothorax . No acute osseous abnormalities visualized . Clips are seen in the right upper quadrant of the abdomen .
    OUTPUT:
    
No acute cardiopulmonary abnormality . No fracture identified , but if there is continued clinical concern , dedicated left shoulder radiographs are recommended .