Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains moderately enlarged due to prominent epicardial fat pads . Mediastinal contour is unchanged , and stably widened compatible with mediastinal lipomatosis . Hilar contours are normal . Lungs are clear and the pulmonary vascularity is normal . Pleural thickening is noted bilaterally due to pleural fat deposition . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .