Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate enlargement of the cardiac silhouette as on prior . The lungs are clear without consolidation , effusion , or edema . Atherosclerotic calcifications noted at the aortic arch . Mitral annular calcifications are also noted . No acute osseous abnormalities .
    OUTPUT:
    
Moderate cardiac enlargement without superimposed acute cardiopulmonary process .