Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of consolidation or overt pulmonary edema . There is no pleural effusion . The cardiac silhouette is enlarged similar compared to prior . Atherosclerotic calcifications noted at the aortic arch . Hypertrophic changes noted in the spine . No acute osseous abnormalities identified .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .