Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is enlargement of the left ventricle , unchanged compared to the prior exam . Dilation and tortuosity of the ascending aortic contour is stable . The lung volumes are slightly decreased with bronchovascular crowding at the lung bases ; however , no overt pulmonary edema or focal consolidation is seen . There is no evidence of pneumothorax . No pleural effusion is identified .
    OUTPUT:
    
Unchanged dilated and tortuous descending aorta with enlarged left ventricle . No focal consolidations concerning for pneumonia is identified .