Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited due to patient rotation and the patient 's chin projecting over and obscuring the lung apices . Moderate to severe cardiomegaly persists . Mediastinal contours appear grossly unchanged with tortuosity of the thoracic aorta again demonstrated . Hilar contours are normal . Pulmonary vasculature is not engorged . No gross focal consolidation , pleural effusion or pneumothorax is identified . Mild atherosclerotic calcifications are noted at the aortic knob . There is diffuse demineralization of the osseous structures with multiple compression deformities re - demonstrated , but poorly assessed . Remote left - sided rib fractures are also again identified , though no acutely displaced fractures clearly seen .
    OUTPUT:
    
Limited exam . No gross acute cardiopulmonary abnormality . Poor re- demonstration of multiple thoracic vertebral compression deformities . Remote left - sided rib fractures . No acutely displaced rib fractures identified .