Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left lower lobe atelectasis is again present . There are no focal consolidations concerning for pneumonia . There is no pneumothorax or pulmonary edema . The aorta is again tortuous . The right lung is essentially clear . No pleural effusion is present . Cardiac sized is again enlarged .
    OUTPUT:
    
Cardiomegaly without evidence of pneumonia .