Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest again demonstrate moderate cardiomegaly with left atrial enlargement . The lungs appear better aerated on this study with persistent central venous vascular congestion and no overt evidence for pulmonary edema . There is no pleural effusion or pneumothorax . There is no focal air space consolidation to suggest pneumonia . Dense mitral annular calcifications are again seen .
    OUTPUT:
    
Persistent moderate cardiomegaly with no acute cardiopulmonary process .