Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged and globular in configuration also has a very midline position in the chest . If the patient has no history of heart disease then this is a distinctly abnormal pattern for a ___-year - old and cardiac ECHO is recommended . There is mild vascular plethora there is a patchy area of increased opacity in the right lower lobe that could represent area of volume loss versus early infiltrate . The bony thorax is normal
    OUTPUT:
    
Mildly enlarged globular heart , distinctly abnormal for ___-year - old . Recommend cardiac echo .