Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is slightly limited by patient rotation . Moderate enlargement of cardiac silhouette persists . Mediastinal and hilar contours are grossly unchanged . There is no overt pulmonary edema . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormalities seen . Moderate multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .