Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac and mediastinal silhouettes are stable with the aorta tortuous and significantly dilated . Dextroscoliosis of the thoracic spine is again seen . No focal consolidation is seen . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Stable enlargement of the cardiomediastinal silhouette . Grossly stable enlargement of the tortuous aorta . No focal consolidation to suggest pneumonia .