Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged but unchanged in size . The cardiomediastinal and hilar contours are within normal limits . The lungs are clear without focal consolidation . There is no effusion or pneumothorax .
    OUTPUT:
    
No focal consolidation , pleural effusion or pneumothorax . No evidence of mediastinal widening .