Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette remains markedly enlarged , similar to prior . Again there is lingular atelectasis / scarring , linear . Persistent mild blunting of the right costophrenic angle . No new focal consolidation is seen . No large pleural effusion or pneumothorax . Mediastinal contours are stable with a calcified , tortuous aorta .
    OUTPUT:
    
No significant interval change , with persistent marked cardiomegaly