Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is marked cardiomegaly . The hilar and mediastinal contours are otherwise unremarkable . No focal consolidations concerning for pneumonia are identified . There is no pleural effusion or pneumothorax . The visualized osseous structures demonstrate no evidence of a fracture .
    OUTPUT:
    
No acute intra-thoracic process identified . No evidence of a fracture .