Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . No focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate - to - severe cardiomegaly is unchanged . These findings were discussed with Dr . ___ by Dr . ___ at 1 :51 p .m . on ___ by telephone .