Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . The lungs are clear . No focal consolidation , pleural effusion , pulmonary edema , or pneumothorax . The heart is moderately enlarged , similar to the previous exam . The descending thoracic aorta is tortuous or ectatic , unchanged . Calcifications in the aortic knob and descending thoracic aorta are also unchanged . Surgical clips project over the upper abdomen , unchanged . Incompletely visualized left shoulder replacement appears intact .
    OUTPUT:
    
1 . No acute intrathoracic process - no pneumonia . 2 . Unchanged moderate cardiomegaly