Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low with minimal bibasilar atelectasis . No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is seen . Heart size is persistently enlarged . The aorta is tortuous and calcified . Sternal wires appear intact . Severe degenerative change of the left shoulder are again noted .
    OUTPUT:
    
Persistent cardiomegaly . No focal consolidation .