Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac and mediastinal silhouettes are stable . Again , the aorta is markedly tortuous , dilated with a stent graft , similar to prior study . Thoracic scoliosis is noted . No new focal consolidation is seen . No pneumothorax is seen . There is slight blunting of the costophrenic angles which may be due to the lungs being hyperinflated , trace pleural effusions not excluded .
    OUTPUT:
    
Slight blunting of the posterior costophrenic angles , trace pleural effusions not excluded . Otherwise , no significant interval change from the prior study .