Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs again demonstrate multiple disrupted sternal wires , unchanged from prior radiograph . Again seen is moderate cardiomegaly . The lungs are clear and there is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . No evidence of pneumonia . 2 . Moderate cardiomegaly and multiple disrupted sternal wires , unchanged from prior radiograph . A preliminary read was provided by Dr . ___ to the office of Dr . ___ . A message was left with ___ at ___ on ___ .