Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear stable . The heart is again mildly enlarged with a left ventricular configuration . The aorta is markedly tortuous . The lungs appear clear . There are no pleural effusions or pneumothorax . A mid thoracic compression deformity appears unchanged .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .