Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are essentially clear without consolidation or edema . Moderate cardiac enlargement is similar compared to prior . Tortuosity of the descending thoracic aorta is again noted with atherosclerotic calcifications again seen at the arch . No acute osseous abnormalities , deformities of the proximal left humerus and the lateral left fifth rib suggest prior fractures .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .