Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The heart aorta has a smooth well - defined contour but appears at least mildly tortuous - often due to a history of hypertension - and perhaps mildly dilated . There is no pleural effusion or pneumothorax . There is slight posterior blunting of costophrenic sulci but any substantial pleural effusion is doubtful on and probably there are none . The lungs appear clear . Surgical clips project along the left axilla . There is volume loss in the left breast compared to the right suggesting prior a mastectomy but with increased density so there may be a breast implant .
    OUTPUT:
    
No definite evidence of acute cardiopulmonary disease . Tortuous aorta and possibly ectasia . In follow - up , if available , correlation with prior radiographs is recommended . If radiographic stability of the findings is not established , chest CT should be considered to rule out ectasia which may be appropriate to follow - up .