Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no definite acute cardiopulmonary process . Increased opacity projecting over the first costochondral junctions bilaterally are unchanged over multiple prior exams . Enlarged pulmonary arteries suggesting pulmonary hypertension is also unchanged . Mild cardiac enlargement , unchanged . No new focal consolidation nor edema . There is tortuosity of the thoracic aorta with atherosclerotic calcifications . Thoracic and lumbar compression deformities are unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .