Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged with dense mitral annular calcifications , unchanged . Mediastinal and hilar contours appear similar with a small hiatal hernia again noted . Chain sutures and linear scarring are re - demonstrated in the right upper lobe . No focal consolidation , pleural effusion or pneumothorax is present . Moderate degenerative changes are noted in the thoracic spine . Clips are present within the right upper quadrant of the abdomen compatible prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary abnormality .