Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no pleural effusion , pneumothorax or focal airspace consolidation . The cardiac silhouette is mild to moderately enlarged but unchanged . An epicardial fat pad is again noted . The mediastinal and hilar contours are unremarkable . The aorta is tortuous . Surgical clips are noted within the neck .
    OUTPUT:
    
No acute cardiopulmonary process .