Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged with a left ventricular configuration . There is mild unfolding along the descending thoracic aorta . There is no pleural effusion or pneumothorax . The lungs appear clear . Small - to - moderate anterior osteophytes are noted along the thoracic spine .
    OUTPUT:
    
No evidence of acute disease .