Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior right PICC is no longer visualized . There is no overt pulmonary edema nor large effusion , noting respiratory motion degrading the lateral view . Cardiomediastinal silhouette is stable . Enlarged pulmonary arteries are unchanged . No acute osseous abnormalities . Surgical clips project at the thoracic inlet .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .