Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a mildly tortuous thoracic aorta . Otherwise , the cardiomediastinal silhouettes are stable and within normal limits . The bilateral hila are unremarkable . The lungs are clear . There is no evidence of pulmonary vascular congestion there is biapical pleural - parenchymal scarring . There is no pneumothorax or pleural effusion . Old healed left tenth rib fracture . Unchanged thoracic scoliotic curve .
    OUTPUT:
    
No acute cardiopulmonary process .