Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no consolidation , effusion , or edema . Mild cardiac enlargement is again noted . No acute osseous abnormalities . Surgical clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .