Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . The aorta is diffusely calcified . Mediastinal and hilar contours are unchanged with prominence of the right paramediastinal contour , again likely due to tortuous vessels . Pulmonary vasculature is not engorged . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . Hypertrophic changes are re- demonstrated on the thoracic spine . Clips are noted within the right upper quadrant of the abdomen . No subdiaphragmatic free air is present .
    OUTPUT:
    
No acute cardiopulmonary abnormality .