Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is at the upper limits ___ ___ . The aorta is mildy unfolded . No pleural effusion , pneumothorax , pulmonary edema or evidence of pneumonia . The lateral view suggest mild anterior hyperinflation of the lungs . Mild t- spine degenerative changes noted .
    OUTPUT:
    
No evidence of acute pulmonary process .