Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear . There is no large effusion or pneumothorax based on a supine film . Moderate cardiomegaly is noted . Mediastinum is within normal limits . Incompletely evaluated but chronic appearing distal left clavicular fracture is noted .
    OUTPUT:
    
Cardiomegaly without definite acute cardiopulmonary process .