Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , accentuating the cardiac silhouette as well as causing vascular crowding . The cardiac silhouette is moderately enlarged with tortuosity of the thoracic aorta . There is mild prominence of the central pulmonary vasculature without frank interstitial edema . There is a trace right - sided pleural effusion with fluid tracking along the minor fissure . A ring - like density projects over the right upper lung field measuring roughly 2 .6 cm without clear lateral correlate . There is no pneumothorax .
    OUTPUT:
    
1 . Moderate cardiomegaly with mild fluid overload and trace right - sided effusion . 2 . A 2 .6 cm ring density projecting over the right upper lung field without clear lateral correlate . Recommend oblique views for further characterization as well as acquisition of prior studies for comparison , if available . Discussed with Dr . ___ by Dr . ___ ___ the phone at 1 : 56 am ___ .