Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The lungs are clear of focal consolidation or pulmonary vascular congestion . There is no effusion . The cardiac silhouette is mildly enlarged . Descending thoracic aorta is tortuous . No acute osseous abnormality is detected . Hypertrophic changes seen in the thoracic spine .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .