Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged . Mediastinal contour is normal . There is no pneumothorax or pleural effusion . There is no focal consolidation . There is no acute osseous abnormality . Surgical clips noted in the left upper quadrant . Multilevel degenerative changes of the thoracic spine with anterior bridging osteophytes .
    OUTPUT:
    
No evidence of pneumonia . Moderate cardiomegaly .