Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is chronic elevation of the left hemidiaphragm , with atelectasis of the left lower lobe . Severe cardiomegaly is also chronic . Median sternotomy cerclage wires and mediastinal surgical clips are noted . There is no definitive focal airspace consolidation . There is no pulmonary edema , pneumothorax , or large pleural effusion .
    OUTPUT:
    
1 . Chronically elevated left hemidiaphragm with left lower lobe atelectasis , unchanged from the ___ CT . 2 . Severe cardiomegaly also unchanged . 3 . No pulmonary edema or definite airspace consolidation .