Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are clear of focal consolidation , effusion , or pulmonary vascular congestion . Cardiac silhouette is enlarged . Atherosclerotic calcifications noted at the arch of the aorta . Multiple vertebroplasties seen in the lower thoracic upper lumbar regions .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .