Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lateral view is limited secondary to patient 's arm being down by his side . The lungs are clear without focal consolidation , effusion , or edema . Mild cardiomegaly is noted . There is tortuosity of the descending thoracic aorta . There is no visualized acute osseous abnormality . Median sternotomy wires are new since prior .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .