Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . The aorta is tortuous . Mediastinal and hilar contours are otherwise unchanged . Pulmonary vasculature is normal . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . Moderate multilevel degenerative changes are seen in the thoracic spine . Multiple clips are noted in the right upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .