Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear without focal consolidation , effusion , or edema . There is moderate cardiac enlargement which is likely accentuated by lordotic positioning . Degenerative changes are noticed the shoulders bilaterally , more severe on the left than on the right .
    OUTPUT:
    
Cardiomegaly without definite superimposed acute cardiopulmonary process .