Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest once again demonstrate moderate to severe cardiomegaly which is stable over multiple prior exams . Low lung volumes accentuate the bronchovascular markings . There is no evidence of pleural effusion , pneumothorax or pneumonia .
    OUTPUT:
    
Cardiomegaly without signs of overt failure or pneumonia .