Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . No prior . The lungs are clear . There is no effusion , consolidation , or pneumothorax . Cardiac silhouette is slightly enlarged . Median sternotomy wires with mediastinal clips are noted . Hypertrophic changes are noted in the spine . Osseous and soft tissue structures are otherwise unremarkable .
    OUTPUT:
    
Cardiomegaly , without acute cardiopulmonary process .