Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe enlargement of cardiac silhouette is unchanged . The mediastinal and hilar contours are stable . Calcified pleural plaques are again noted bilaterally . No focal consolidation , pleural effusion or pneumothorax is seen . There is no pulmonary vascular congestion .
    OUTPUT:
    
Severe enlargement of cardiac silhouette , unchanged . Otherwise , no acute cardiopulmonary abnormality .