Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation to suggest pneumonia . The heart is moderately to severely enlarged . Pulmonary vascular congestion , if any , is minimal . The thoracic aorta is slightly tortuous or ectatic . Atherosclerotic calcifications of the visualized thoracic aorta are moderate . No pleural effusion . Left pleural thickening or scarring at the base is present . No pneumothorax . Incompletely visualized left shoulder replacement appears intact . Surgical clips project over the upper abdomen .
    OUTPUT:
    
1 . No pneumonia . 2 . Moderate cardiomegaly .