Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . There are dense atherosclerotic calcifications along an ectatic and tortuous aorta appearing similar to prior exam . Hilar contours are unremarkable . Lungs are hyperinflated but otherwise clear . Pleural surfaces are clear without effusion or pneumothorax . No definite rib fracture is identified .
    OUTPUT:
    
1 . No acute cardiopulmonary abnormality . No definite rib fracture . 2 . Hyperinflated lungs suggestive of COPD . 3 . Grossly stable ectasia of the thoracic aorta .