Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP semi-upright portable view of the chest was provided . Patient is rotated to her right which somewhat limits the evaluation . The lungs appear clear bilaterally without focal consolidation , effusion , or pneumothorax . There is some prominence of the right paratracheal stripe which could reflect mediastinal lymphadenopathy in this patient with known metastatic lung cancer . The heart size appears normal . No pleural effusion or pneumothorax is seen though the left CP angle and the inferior right CP angle are excluded . The imaged osseous structures appear intact .
    OUTPUT:
    
Widened mediastinum which could reflect lymphadenopathy in this patient with metastatic lung cancer . No signs of pneumonia or CHF .