Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no new consolidation , effusion or vascular congestion . Cardiomediastinal silhouette is stable with moderate cardiomegaly . Enlarged hila bilaterally compatible with pulmonary arterial enlargement . No acute osseous abnormalities identified , post thoracotomy changes identified on the right .
    OUTPUT:
    
No acute cardiopulmonary process .