Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well expanded and show evidence of cephalization of the pulmonary vasculature . The cardiac silhouette is chronically enlarged . Rightward tracheal deviation in the neck is due to adenopathy present on CTA ___ , but not noted in the report . The mediastinal silhouette and hilar contours are otherwise normal . No pleural effusion or pneumothorax is present .
    OUTPUT:
    
1 . Unchanged severe cardiomegaly . Mild pulmonary vascular congestion . No edema . 2 . Likely cervicomediastinal adenopathy , should be evaluated electively . ___ resident ___ paged at the time of approval .