Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is unchanged . Aorta is tortuous and generally large , but not clearly aneurysmal or changed over more than ___ years . An aorta with this appearance is prone to dissection which might not be diagnosable on conventional chest radiographs . The lungs are well expanded and clear . No pleural effusion or pneumothorax is present . Multilevel anterior osteophytes in the thoracolumbar spine , with severe loss of disc height in the visualized upper lumbar spine .
    OUTPUT:
    
Mild cardiomegaly . No acute cardiopulmonary process . Aortic dissection is not excluded by this radiographic appearance and should be considered in clinical context .