Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . No focal consolidation , large pleural effusion , or evidence of pneumothorax is seen . Enlarged cardiac silhouette persists . The aorta is calcified and tortuous . Hilar contours are unremarkable .
    OUTPUT:
    
Persistent enlargement of the cardiac silhouette without overt pulmonary edema .