Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate to severe cardiomegaly which is unchanged . The mediastinal and hilar contours are unremarkable . The pulmonary vascularity is not engorged . The lungs are clear . No pleural effusion or pneumothorax is present . Wedge compression deformity of L1 is unchanged . No acute osseous abnormalities are seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .