Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear focal consolidation or effusion . The cardiac silhouette is enlarged but stable in configuration . Median sternotomy wires and mediastinal clips are again noted . Prior right IJ line line is no longer visualized . Calcifications in the proximal right humerus may be due to an enchondroma or bone infarct .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .