Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no focal consolidation , pleural effusion or pneumothorax . The heart is mild to moderately enlarged , as seen previously , possibly slightly increased . A left chest wall pacemaker is present with leads in the right atrium and right ventricle , unchanged in position . Clips are present in the upper abdomen . There are no displaced fractures .
    OUTPUT:
    
Mild to moderate enlargement of the cardiac silhouette stable to possibly minimally increased . Otherwise , no acute cardiopulmonary process .