Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation is seen . There is no pleural effusion or pneumothorax . Costochondral calcification is seen bilaterally , most notably on the right . . The cardiac silhouette remains enlarged . The aorta is tortuous . Surgical clips were again noted in the epigastric region , at the level of the gastroesophageal junction .
    OUTPUT:
    
No acute cardiopulmonary process .