Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unchanged , with tortuosity of the thoracic aorta again noted . The aorta is diffusely calcified . There is no pulmonary vascular congestion , focal consolidation or pleural effusion . Scarring within the lung apices is re - demonstrated . Relative attenuation of the pulmonary vascular markings within the lung apices is compatible with underlying emphysema . No pneumothorax is present . S - shaped scoliosis of the thoracic spine is re - demonstrated as are clips within the right breast . Soft tissue anchor within the right humeral head is noted . There are degenerative changes within the thoracic spine with mild loss of height of a mid thoracic vertebral body , unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality .