Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no consolidation , effusion or edema . The cardiomediastinal silhouette is stable with moderate cardiomegaly . Hypertrophic changes noted in the spine , no acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .