Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is re - demonstrated , unchanged . The aorta remains tortuous . Mediastinal and hilar contours are similar , and the pulmonary vasculature is not engorged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Diffuse idiopathic skeletal hyperostosis is again noted .
    OUTPUT:
    
No acute cardiopulmonary abnormality .