Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are unchanged , with tortuosity of the thoracic aorta again noted . Atherosclerotic calcifications are seen throughout the aorta . Pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is present . Multilevel degenerative changes are seen in the thoracic spine . Clips in the right upper quadrant of the abdomen are re - demonstrated .
    OUTPUT:
    
No acute cardiopulmonary abnormality .