Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Markedly tortuous thoracic aorta is again noted with dilatation of the ascending aorta concerning for aneurysm , overall unchanged . The pulmonary vascularity is not engorged . Calcified granulomas are noted bilaterally , the largest of which is in the left upper lobe , unchanged . Streaky linear opacities are again noted within the lung bases compatible with atelectasis . Lungs are hyperinflated with emphysematous changes again noted . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormality is seen .
    OUTPUT:
    
Bibasilar atelectasis . Tortuous aorta with likely ascending aortic aneurysm , unchanged , which can better be assessed with contrast - enhanced CT . Emphysema .