Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Thoracic scoliosis is noted . There may be some medial right upper lobe scarring . The cardiac silhouette is moderately enlarged . The aorta is calcified and tortuous . No large pleural effusion is seen . The lungs are hyperinflated with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . There is no overt pulmonary edema or definite focal consolidation seen . Degenerative changes are seen along the spine . Right paratracheal opacity without indentation on the trachea most likely relates to underlying vascular structures ,
    OUTPUT:
    
Enlarged cardiac silhouette without frank pulmonary edema . Thoracic scoliosis .