Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pleural effusion , pneumothorax or focal airspace consolidation . Linear scarring / atelectasis is again seen at the left lower lung . There is mild prominence of the central vasculature without overt signs of pulmonary edema . The cardiac silhouette is moderately to severely enlarged and unchanged . The mediastinal contours are normal . A calcified hepatic cyst is seen in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process with unchanged moderate to severe cardiomegaly .