Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Catheter is projected over right chest , spine . Postoperative changes thoracic spine with surgical instrumentation , mid thoracic corpectomy with hardware in place . Increased heart size , pulmonary vascularity , new since prior . Tiny left pleural effusion , new . Presumed gastric distention , partially seen . No pneumothorax . No consolidation . Surgical clips right upper quadrant .
    OUTPUT:
    
Increased heart size , pulmonary vascularity , new since prior . Tiny left pleural effusion .