Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Mild cardiomegaly is unchanged . The aorta is tortuous and with diffuse calcifications . The contour of the aneurysmal dilation of the descending thoracic aorta is unchanged . The hilar contours are normal . There is no focal consolidation , pleural effusion or pneumothorax . The expansile lesion in the left lower rib is unchanged , but a sclerotic focus on the ___ left posterior rib is more prominent ; healed right rib fractures are present . Known diffuse bone metastases are better evaluated on prior CT imaging .
    OUTPUT:
    
No acute cardiopulmonary process .