Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of cardiac silhouette with a left ventricular predominance is noted . The aorta is tortuous . The hilar contours are within normal limits , and there is no evidence of pulmonary vascular congestion . No focal consolidation , pleural effusion or pneumothorax is detected . No acute osseous abnormalities are present .
    OUTPUT:
    
No acute cardiopulmonary process .