Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . The heart is moderately enlarged , with a prominent right atrium , suggesting high pulmonary pressure . The aorta is tortuous . There is no pleural effusion or pneumothorax . A prominent right epicardial fat is noted . No fractures are seen .
    OUTPUT:
    
Moderate cardiomegaly . No evidence of acute cardiopulmonary process or fracture . Of note , this exam is not tailored for evaluation of fine detail of thoracic osseous structures . If there is concern for bony injuries detailed views should be obtained .