Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-erect portable AP radiograph of the chest . The lungs are hyperinflated and clear . The right costophrenic sulcus is not imaged . Mild cardiomegaly is unchanged . Tortuosity of the aorta is noted . There are diffusely increased interstitial markings which appear to be chronic and also seen on scout image from ___ CT . Prominent mediastinal contour may represent aortic aneurysm . Correlate with clinical history . Median sternotomy cerclage wires and mediastinal clips are unchanged . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
1 . Hyperinflation of the lungs with chronically increased interstitial markings , concerning for chronic lung disease . 2 . Aortic tortuosity and prominent aortic knob is grossly stable . Correlate with history of known thoracic aortic aneursym or prior chest CT imaging . If none , findings could be further evaluated on chest ct .