Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is mildly enlarged with prominent epicardial fat pads . The mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Assessment of the lung apices is somewhat obscured by the patient 's chin and soft tissues projecting over these regions . Lungs are otherwise clear without focal consolidation . No pleural effusion or pneumothorax is demonstrated . Moderate multilevel degenerative changes are seen within the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .