Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are lower compared to the previous study which accentuates the size of the cardiac silhouette which appears moderately enlarged . The mediastinal contour is unremarkable . Pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities detected .
    OUTPUT:
    
Low lung volumes which accentuates the size of the cardiac silhouette , now appearing moderately enlarged . No acute cardiopulmonary process otherwise noted .