Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is seen . Mediastinal contours are within normal limits . Heart size has been progressively increasing ___ and now appears top normal .
    OUTPUT:
    
No radiographic evidence for acute cardiopulmonary process . Top normal heart size , gradually increased over a two year period . This finding was e-mailed to the ED ___ nurses ___ Dr . ___ on ___ at 8 :52 a .m . after attending radiologist review . E - mail response was received from Dr . ___ at approximately 9 a .m . on ___ .