Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . The aorta is somewhat tortuous , which is a new finding since ___ , although without evidence for dilatation . Otherwise , the mediastinal and hilar contours appear within normal limits . There is no pleural effusion or pneumothorax . The lungs appear clear . Minimal marginal osteophyte formation is seen along the thoracic spine .
    OUTPUT:
    
No evidence of acute disease . Mild - to - moderate tortuosity of the aorta , which has developed since ___ , an appearance for which the possibility of hypertension should be considered clinically .