Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly persists , with a tortuous and calcified aorta . There is continued moderate elevation of the left hemidiaphragm , with associated compressive atelectasis and blunting of the left costophrenic angle . No focal consolidation is present . There are no pleural effusions or pneumothorax . Trachea is deviated to the right at the level of the thoracic inlet , secondary to known thyroid goiter . Bones are diffusely demineralized , with multilevel degenerative changes and S - shaped scoliosis .
    OUTPUT:
    
Moderate cardiomegaly and left hemidiaphragm elevation . No acute cardiopulmonary process .