Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest demonstrate normal lung volumes . There is no pleural effusion or pneumothorax . Mild apical scarring is noted . Mild - to - moderate cardiomegaly appears progressed from prior exam . The left hemidiaphragm appears obscured . There is no focal consolidation . There is no pulmonary edema . Aortic arch calcifications are noted , otherwise hilar and mediastinal silhouettes are unchanged . Partially imaged upper abdomen is unremarkable . Multiple surgical clips project over left axilla .
    OUTPUT:
    
1 . No focal consolidation . 2 . Moderate cardiomegaly appears progressed from ___ exam . In the setting of clinical concern for pericardial effusion , cardiac echo may be obtained for further assessment .