Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged . The aorta remains tortuous . Mediastinal contours are within normal limits . Previously noted right - sided tracheal deviation is no longer identified . Lungs are clear . Pulmonary vascularity is normal . No pleural effusion or pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .