Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are symmetrically expanded without focal consolidation concerning for pneumonia , pleural effusion , or pneumothorax . Biapical pleural thickening is noted . The pulmonary vasculature is congested . There is no overt pulmonary edema . The cardiac silhouette is moderately enlarged but stable . Prominence of the left main pulmonary artery is unchanged . The thoracic aorta is tortuous and dilated , similar in appearance to the prior study . Wedge compression deformity of a lower thoracic vertebral body is unchanged . An opacity projecting over the right posterior 5th rib may represent a sclerotic rib lesion or , less likely , intraparenchymal lesion .
    OUTPUT:
    
1 . Stable cardiomegaly with pulmonary vascular congestion . 2 . Dilated and tortous thoracic aorta . Acute aortic dissection is not excluded on the basis of this study .