Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged with a left ventricular predominance . The aorta is tortuous . The mediastinal and hilar contours otherwise are unchanged , with a small hiatal hernia noted . The pulmonary vascularity is normal . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . There is mild retrolisthesis at the thoracolumbar junction , unchanged , likely T12 on L1 and L1 on L2 . Mild loss of height of a mid thoracic vertebral body is also stable . The lungs are hyperinflated compatible with underlying COPD .
    OUTPUT:
    
No acute cardiopulmonary abnormality .