Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . There is mild biapical scarring . The lungs are otherwise clear without consolidation effusion or pulmonary vascular congestion . Cardiac silhouette is mildly enlarged . Descending thoracic aorta is ectatic . Degenerative changes are noted at the shoulders bilaterally . Osseous structures are otherwise unremarkable .
    OUTPUT:
    
Cardiomegaly without definite acute cardiopulmonary process .