Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The aorta is mildly tortuous . Mediastinal and hilar contours otherwise are within normal limits . The pulmonary vascularity is normal . The lungs are hyperinflated . No focal consolidation , pleural effusion or pneumothorax is present . There is mild biapical scarring . Multilevel degenerative changes are seen in the thoracic spine with bridging anterior osteophytes .
    OUTPUT:
    
No acute cardiopulmonary abnormality .