Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated with increased interstitial markings which are likely chronic . There is no superimposed consolidation to suggest aspiration or infection . Moderate cardiac enlargement with mitral annular calcifications and aortic valve replacement are again noted . Median sternotomy wires and atherosclerotic calcifications of the aortic arch are again seen . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .