Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is relatively pronounced cardiomegaly and prominence of the pulmonary hila , similar to the prior film . There is upper zone redistribution and mild vascular plethora , without other evidence of CHF . Platelike atelectasis again noted in the right mid zone , slightly more extensive . The right costophrenic angle is not well visualized and the possibility of a small right pleural effusion , new compared with the prior study , can not be excluded . Left costophrenic angle is excluded from the film . Some increased retrocardiac opacity is again seen , with minimal atelectasis at the lateral left lung base . An NG / Oro - gastric type tube is present , extending beneath the diaphragm , off the film . Clips noted in the right supraclavicular region .
    OUTPUT:
    
1 . Cardiomegaly . Prominent hila suggestive of chronic pulmonary hypertension . These findings are not significantly changed . 2 . Mild vascular plethora , possibly slightly worse , but without other evidence of CHF . 3 . Possibility of a new small right pleural effusion can not be excluded . 4 . Persistent retrocardiac opacity consistent with left lower lobe collapse and / or consolidation , similar to the prior study .