Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without consolidation , effusion , or edema . Moderate cardiomegaly is again noted . There is focal nodule projecting over the anterior right third rib which is unchanged compared to multiple priors and is likely within the bone , a bone island . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .