Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . The aorta is tortuous with calcifications . Ascending aortic diameter can not be accurately measured . There is no evidence for pulmonary edema , pulmonary consolidation , pleural effusion , or pneumothorax . S - shaped thoracic scoliosis is noted . There are degenerative changes in the thoracic spine .
    OUTPUT:
    
Stable appearance of the chest without evidence for acute cardiopulmonary abnormalities . Please note that ascending aortic diameter can not be accurately measured on this exam .