Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . The lungs are clear of focal consolidation or definite effusion noting that the right costophrenic angle is excluded from the field of view . There is no evidence of pulmonary edema . Cardiac silhouette is enlarged , similar to prior . Degenerative changes noted at the shoulders .
    OUTPUT:
    
Cardiomegaly without evidence of acute cardiopulmonary process . No evidence of pulmonary edema .