Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear . There is no effusion , consolidation , or edema . Moderate enlargement of the cardiac silhouette is noted . Atherosclerotic calcifications are seen at the aortic arch . Hypertrophic changes are seen in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .