Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiograph is provided . Lungs are well expanded . There is no focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal silhouette is top normal and has been slowly increasing in size since ___ . Clips are present in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process . Slowly progressive mild cardiomegaly .