Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is enlargement of the left ventricle . The hilar and mediastinal contours are normal . The lungs are well expanded and clear . There is no focal consolidation concerning for pneumonia . There are no pleural effusions or pneumothorax . Moderate degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
No radiographic evidence of an acute cardiopulmonary process .