Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . Moderate severe cardiomegaly is unchanged . Tortuosity of the thoracic aorta is again noted . Compression deformity of a lower thoracic vertebral body is unchanged .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .