Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly with calcification of the mitral annulus . Apparent right hilar enlargement is appears more conspicuous when compared to prior . Dense atherosclerotic calcifications noted at the aortic arch and there is tortuosity of the thoracic aorta . Lungs are clear without consolidation or edema . Blunting of the right costophrenic angle could represent an effusion or be due to overlying soft tissues . No acute osseous abnormalities .
    OUTPUT:
    
No definite acute cardiopulmonary process . Possible small right pleural effusion . Right hilar enlargement for which PA and lateral suggested when patient is amenable for further characterization .