Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to previous exam from ___ . The lungs are clear of consolidation or effusion . There is no pneumothorax . Cardiac silhouette is enlarged , similar to prior . Mid thoracic dextroscoliosis is again noted . Superior and inferior endplate deformities are again noted , likely sequelae from patient 's known sickle cell disease .
    OUTPUT:
    
Cardiomegaly . No definite acute cardiopulmonary process .