Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal AP and lateral views of the chest were obtained . The lateral view is limited by patient 's inability to raise her right arm . There is no focal consolidation , or pneumothorax . Blunting of the left costophrenic sulcus is unchanged from ___ and may represent pleural thickening . Tiny rounded calcifications in the right upper lung correspond to a pleural - based plaque with internal calcification on CT chest ___ . Mild cardiomegaly is unchanged . The thoracic aorta is tortuous and generally large . The intimal calcification at the aortic knob is far from the edge but unchanged from ___ . The bones are diffusely osteopenic . intimal calcification far from edge . does nt necessarily mean that intima is not elevated ( in dissection ) . film in ___ where teh ao knob looks at least as peculiar .
    OUTPUT:
    
1 . No pneumonia or edema . 2 . Aortic knob intimal calcification is far from the edge , unchanged from ___ . Due to aortic tortuosity , it is uninterpretable . This would warrant further evaluation if there is good clinical evidence for dissection . Finding # 2 discussed with Dr . ___ by phone at 7 :32 am ___ .