Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Previously seen pleural effusions are no longer visualized . There is streaky right basilar opacities which may be due to atelectasis . There is no consolidation worrisome for pneumonia . The cardiac silhouette is enlarged and there is tortuosity of the descending thoracic aorta as on prior . Median sternotomy wires are again noted . No acute osseous abnormality is identified .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .