Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were obtained . Again seen is a very tortuous thoracic aorta . The heart is severely enlarged . Cardiomediastinal contour is otherwise unremarkable . There is no focal consolidation , pleural effusion or pneumothorax . Exaggerated thoracic kyphosis and degenerative changes in the thoracic spine are noted .
    OUTPUT:
    
No evidence of pneumonia .