Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without consolidation , effusion , are pulmonary edema . Left chest port is seen with catheter tip at the upper SVC . The cardiomediastinal silhouette is stable . Hypertrophic changes noted in the spine .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .