Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is borderline enlarged . The aorta is tortuous . The mediastinal and hilar contours are unremarkable . Pulmonary vasculature is normal . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is visualized . Multilevel degenerative changes with anterior osteophytes are present in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .