Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate to severe cardiomegaly . The aorta is tortuous and diffusely calcified . No overt pulmonary edema is demonstrated . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities demonstrated .
    OUTPUT:
    
Moderate to severe cardiomegaly . Otherwise , no acute cardiopulmonary process .