Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette , including severe cardiomegaly and numerous sternotomy wires , is unchanged .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary process . 2 . Stable severe cardiomegaly .