Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild cardiomegaly . The aorta is tortuous . The lungs are grossly clear and hyper inflated . Small nodules described in prior CT are below the resolution of these radiograph , followup with CT is recommended . In the left upper hemi thorax projecting over the anterior first rib , un increased density is likely the costochondral junction but could be a lung nodule . There is S - shaped scoliosis
    OUTPUT:
    
No acute cardiopulmonary abnormalities Previously described lung nodules on CT should be re-evaluated with CT , in that study , nodular opacity in the left apex can also be evaluated