Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and prosthetic cardiac valve are again seen as well as mediastinal clips . A calcified lesion in the right upper quadrant is again noted consistent with calcified lesion in the right renal upper pole as seen on prior CT . The lungs are clear bilaterally without signs of pneumonia or edema . The heart remains mildly enlarged with subtle prominence of the main pulmonary artery contour which should be correlated for the presence of pulmonary arterial hypertension . No large effusion or pneumothorax is seen . Mediastinal contour is unchanged . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Mild cardiomegaly with prominence of the main pulmonary artery contour , correlate for pulmonary arterial hypertension .