Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of cardiac silhouette with a left ventricular predominance is again noted . The aorta remains mildly tortuous . Pulmonary vasculature is normal . Lungs are hyperinflated . Mildly increased interstitial markings diffusely remain , compatible with a mild chronic interstitial abnormality . No focal consolidation , pleural effusion or pneumothorax is seen . There are moderate multilevel degenerative changes noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .