Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . The cardiomediastinal silhouette is stable noting moderate cardiomegaly and atherosclerotic calcifications at the aortic arch . No acute osseous abnormalities identified . Surgical clips seen in the right upper quadrant and within the neck .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .