Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No focal consolidation , edema , effusion , or pneumothorax . The heart is moderately enlarged , new since ___ . The thoracic aorta is slightly tortuous , unchanged and may in part be related to the curvature of the thoracic spine .
    OUTPUT:
    
1 . No focal pneumonia . 2 . New moderate cardiomegaly without over pulmonary edema or pleural effusion .