Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated with persistent bilateral reticular opacities predominantly within the lung bases . Stable 1 .3 cm nodular opacity seen on the lateral projection , unchanged from ___ is compatible with a bone island in a thoracic vertebral body . Stable moderate cardiomegaly with unfolded aorta and mild vascular congestion . Mediastinal contour and hila are unremarkable . No significant pleural effusion nor pneumothorax . Limited assessment of the osseous structures are notable for moderate multilevel degenerative changes of the thoracolumbar spine with anterior osteophytes disc space narrowing and subchondral sclerosis .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .