Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . Diffusely increased interstitial markings are again noted , improved prior exam , which are non-specific . No focal abnormality or evidence of edema is seen . Probable left lower lobe atelectasis is again noted . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable . Median sternotomy wires mediastinal clips are noted . The cardiac apex is prominent , which may reflect left ventricular hypertrophy or aneurysmatic dilatation .
    OUTPUT:
    
1 . Diffuse non-specific interstitial markings , improved prior exam . No evidence of edema . 2 . Prominent cardiac apex , which may reflect left ventricular hypertrophy or aneurysmatic dilatation . Recommend correlation with echocardiography if clinically indicated .