Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains moderately enlarged , unchanged . The aorta is tortuous with dilatation of the ascending aorta better appreciated on the previous CT . Focal rightward tracheal deviation at the level of the thoracic inlet is due to a multinodular enlarged left thyroid gland , unchanged . Hilar contours are unchanged , and pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is present . Previously noted pulmonary nodules are not well assessed on the current exam . Multilevel moderate degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality . ___ ___ , MD