Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The study is limited secondary to body habitus . No focal consolidation or superimposed edema is noted . The study is relatively at baseline . There is a markedly tortuous aorta . The cardiac silhouette remains enlarged but stable . The findings are somewhat exaggerated by low lung volumes . No effusion or pneumothorax is noted . Degenerative changes are seen throughout the thoracic spine .
    OUTPUT:
    
No acute pulmonary process . Hypertensive cardiomediastinal configuration .