Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are correlated to CT abdomen and pelvis from ___ . There is blunting of the left lateral and posterior costophrenic angle . This is thought to represent only small effusion with possible component of pleural thickening or scarring . There is increased opacity projecting over the left lower lung which is likely in part due to calcified pleural plaques better seen on CT scan from ___ . The right lung is clear . The cardiac silhouette is enlarged . Triple - lead pacing device along the left chest wall is noted as well as median sternotomy wires . No acute osseous abnormality is detected .
    OUTPUT:
    
Left - sided pleural thickening and calcifications better seen on prior CT scan with possible underlying pleural effusion . No definite underlying acute cardiopulmonary process . Cardiomegaly .