Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The aorta is markedly tortuous with the ascending aorta appearing aneurysmally dilated . The hilar contours are normal , and the pulmonary vasculature is normal . Lungs appear hyperinflated . No focal consolidation , pleural effusion or pneumothorax is identified . No displaced fractures are seen . Extensive degenerative changes of the right glenohumeral joint are noted . Diffuse demineralization of the osseous structures is seen , with multilevel degenerative changes visualized in the thoracic spine .
    OUTPUT:
    
1 . No acute intrathoracic injury identified . 2 . Markedly tortuous aorta with aneurysmal dilatation of the ascending aorta . This can be further assessed with a dedicated chest CTA .