Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , or pneumothorax is seen . Heart and mediastinal contours are unchanged with known small fusiform ascending aortic aneurysm without change on conventional radiography and aortic knob calcifications .
    OUTPUT:
    
Ascending aortic aneurysm without radiographic evidence for acute change .