Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is moderately enlarged . The mediastinal and hilar contours are within normal limits . Pulmonary vascularity is normal . The lungs are clear . No pleural effusion , focal consolidation , or pneumothorax is present . No free air is seen under the diaphragms . There are no acute osseous abnormalities , but mild multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality or free intraperitoneal air seen under the diaphragms .