Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two views of the chest were obtained . The lungs are well expanded and clear . There is no pleural effusion or pneumothorax . The heart is moderately enlarged and increased in size since ___ of uncertain chronicity . Pulmonary vascularity is normal suggesting against acute decompensation . Hilar and mediastinal contours are normal .
    OUTPUT:
    
No acute intrathoracic process . Moderate cardiomegaly , increased since ___ as above .