Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded . There is no focal consolidation , pleural effusion or pneumothorax . Again seen is a markedly tortuous dilated aorta with a stent graft unchanged in size and configuration since prior studies . The cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process or change from the prior study .