Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is moderately enlarged with a large and tortuous thoracic aorta without focal aneurysmal segment . Hilar contours are normal . Lungs are clear . There is no pleural effusion or pneumothorax . Symmetric bilateral apical pleural thickening is noted .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate cardiomegaly and ectatic tortuous aorta .