Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is normal . The aorta is tortuous and elongated . . The lungs are hyper inflated and clear . There is no pneumothorax or pleural effusion . The osseous structures are unremarkable
    OUTPUT:
    
No acute cardiopulmonary abnormalities Tortuous and elongated aorta , the ascending aorta is probably at least ectatic . CT could be performed to exclude the presence of aneurysm