Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is no focal consolidation , effusion , or pneumothorax . Left upper lobe calcified nodule is better appreciated on the chest CT obtained on the same the later , as well as left lower lobe rounded atelectasis . Cardiomegaly is unchanged from ___ images from CT chest ___ . Cardiomediastinal silhouette is unchanged from ___ . Tortuosity of the thoracic aorta is again noted . Sternotomy wires and aortic valve prosthesis is noted . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
1 . No evidence of a wide mediastinum . 2 . Cardiomegaly is unchanged from CT chest ___ .