Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The mediastinum is widened an enlarged and tortuous of the thoracic aorta . Elevation of the right hemidiaphragm is unchanged . Heart size is normal . There is no pleural effusion or pneumothorax . There is no evidence of focal consolidation . Right axillary clips are again seen . Partially imaged hardware within the lower thoracic spine . A cervical rib is noted on the right .
    OUTPUT:
    
No evidence of pneumonia . Dilated and tortuous thoracic aorta .