Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe enlargement of the cardiac silhouette is re - demonstrated . The aorta is markedly tortuous with diffuse atherosclerotic calcifications re-demonstrated . The pulmonary vascularity is normal . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is demonstrated . Punctate granulomas are seen within the upper lobes bilaterally . Multiple clips noted within the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary abnormality .