Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the feeding tube projects below the level the diaphragms but beyond the field of view of this radiograph . The patient is status post prior median sternotomy . Surgical clips project over the right axilla . Increased retrocardiac opacity , likely reflecting pleural fluid and increasing consolidation . No pneumothorax or right pleural effusion identified . The size the cardiomediastinal silhouette is enlarged but unchanged . Calcification of the aortic arch is noted . It is noted that the calcification is remote from the wall of the aortic arch , compatible with known aortic dissection .
    OUTPUT:
    
Increasing retrocardiac opacity which may reflect an increasing pleural effusion and consolidation . No focal consolidation identified in the right lung . Evidence of known aortic dissection .