Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly is present . The aorta is diffusely calcified and mildly tortuous . Pulmonary vasculature is not engorged . The lungs appear hyperinflated with diffuse increased interstitial opacities which may relate to chronic changes . No focal consolidation , pleural effusion or pneumothorax is present . Mild to moderate multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
No focal consolidation . Increased interstitial opacities may be due to chronic changes .