Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are clear of consolidation , effusion , pneumothorax , or pulmonary vascular congestion . There is moderate cardiomegaly with left ventricular and left atrial enlargement likely related to patient 's congenital heart disease . The main pulmonary artery is not enlarged . Lower thoracic vertebral bodies superiorly is partially fused with no clear intervertebral disc space and probable single pedicle on the right . Additional narrowed intervertebral disc more superiorly may also be congenital . There is evidence of prior left midclavicular fracture . Osseous structures are otherwise unremarkable .
    OUTPUT:
    
Cardiomegaly compatible with patient 's history without definite acute cardiopulmonary process .