Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is cardiomegaly . There is no evidence of pleural effusion or pneumothorax . No focal consolidations are seen to suggest an acute infectious process . There is no evidence of pneumoperitoneum . Osseous structures are intact .
    OUTPUT:
    
Cardiomegaly without evidence of acute intrathoracic process . If a prior cardiac workup has not been done , a cardiac consult is recommended .