Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . The lungs are clear of confluent consolidation . Cardiac silhouette is enlarged but stable . Hypertrophic change is seen in the spine . Osseous and soft tissue structures are otherwise unremarkable .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .