Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly and mediastinal vascular engorgement are stable . Again noted is enlargement of the pulmonary arteries . There is no pulmonary edema or pleural effusion . No focal consolidations concerning for infection are identified . There is no evidence of a pneumothorax .
    OUTPUT:
    
No acute intrathoracic process identified .