Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are clear of consolidation or effusion . There is no frank pulmonary edema . Cardiac silhouette is slightly enlarged . Prosthetic aortic valve is noted . Descending aorta is tortuous . Median sternotomy wires and mediastinal clips are noted . Degenerative changes seen at the shoulders bilaterally . No acute osseous abnormality seen . Hypertrophic changes seen throughout the spine .
    OUTPUT:
    
Cardiomegaly without evidence of acute cardiopulmonary process .