Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Enlargement of the cardiomediastinal silhouette is grossly stable with possible mild decrease in the size of the cardiac silhouette . Mediastinal widening secondary to mediastinal lipomatosis is stable . No definite new focal consolidation is seen . There is no pleural effusion or pneumothorax . No overt pulmonary edema is seen .
    OUTPUT:
    
No acute cardiopulmonary process seen . Persistent enlargement of the cardiomediastinal silhouette .