Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top - normal . The aorta is markedly tortuous , as seen previously but atherosclerotic calcifications again noted at the aortic knob . Mediastinal and hilar contours are otherwise similar without pulmonary vascular congestion . Lungs are hyperinflated without focal consolidation , pleural effusion or pneumothorax . Prominent nipple shadow is noted projecting over the right lung base . Moderate multilevel degenerative changes are noted in the thoracic spine with unchanged compression deformity of a vertebral body at the thoracolumbar junction . No radiopaque foreign body is identified .
    OUTPUT:
    
No acute cardiopulmonary abnormality . No radiopaque foreign body identified .