Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac silhouette remains enlarged , the aorta tortuous . No overt pulmonary edema is seen . There is gaseous distention of the partially visualized bowel . What appears to be a G - tube is seen extending over the left upper quadrant .
    OUTPUT:
    
Persistent enlargement of the cardiac silhouette . Otherwise , no acute cardiopulmonary process .