Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 14 :43 are submitted .
    OUTPUT:
    
The heart is stably enlarged which most likely reflects cardiomegaly , although pericardial effusion can not be entirely excluded . Lungs are without evidence of focal airspace consolidation to suggest pneumonia . No pulmonary edema . No pneumothorax . No pleural effusions . Bones are osteopenic with mild degenerative changes in the visualized thoracolumbar spine .