Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The aorta is mildly tortuous . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is present . Previously noted 6 mm left lower lobe nodule on CT is not well assessed on the current radiograph . Right hemidiaphragm is slightly elevated , and likely due to the presence of a large hepatic mass as seen on recent CT . No acute osseous abnormalities detected . There mild degenerative changes noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality . ___ , MD