Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior , there has been no significant interval change . Significant enlargement of the thoracic aorta which is tortuous is again noted , compatible with prior dissection . The lungs are clear . The cardiomediastinal silhouette is stable . Mid thoracic dextroscoliosis is noted . Median sternotomy wires are again seen .
    OUTPUT:
    
No significant interval change , no acute cardiopulmonary process .