Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate severe cardiomegaly . Mitral valve prosthesis is in place . AICD leads are unchanged in position . Patient is status post median sternotomy . Lung volumes are slightly decreased . Left upper lobe opacity likely corresponds to patient 's known part solid , part ground - glass lesion , better characterized on prior CT . Perihilar vascular congestion is noted . Intrathoracic aorta is tortuous . No pleural effusion or pneumothorax . Rim calcified lesions in the left upper abdomen correspond to patient 's known calcified splenic lesions .
    OUTPUT:
    
1 . Left upper medial lung opacities likely correspond to patient 's known part solid , part ground - glass lesion with associated satellite nodules , better defined on ___ CT exam . ___ consider repeat chest CT to assess for interval change . 2 . Severe cardiomegaly , unchanged .