Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette remains markedly enlarged . Mediastinal contours are stable there is likely a tortuous aorta . The right costophrenic angle is not completely included in the image . Given this , no pleural effusion is seen . There is no focal consolidation or evidence of pneumothorax .
    OUTPUT:
    
Right costophrenic angle not completely included on the image ; given this , no pleural effusion seen . Persistent enlargement of the cardiac silhouette without overt pulmonary edema .