Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is likely aches accentuated due to the presence of lower lung volumes compared to the prior chest radiograph . The aorta remains tortuous . Hilar contours are normal . Pulmonary vasculature is not engorged . Linear opacities in the lingula and left lower lobe likely reflect areas of scarring . Calcified granuloma within the right middle lobe appears unchanged . No pleural effusion , focal consolidation or pneumothorax is seen . There are mild degenerative changes noted in the thoracic spine . No subdiaphragmatic free air is identified .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Linear scarring within the lingula and left lower lobe .