Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is borderline enlarged . The aorta is tortuous . Mediastinal and hilar contours are otherwise unremarkable . The pulmonary vasculature is not engorged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Moderate degenerative changes are seen in the thoracic spine . Surgical anchor is noted in the left humeral head .
    OUTPUT:
    
No acute cardiopulmonary abnormality .