Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is moderately enlarged . The aorta is tortuous . Mediastinal and hilar contours are otherwise unremarkable . The pulmonary vasculature is normal and the lungs are clear . No focal consolidation , pleural effusion or pneumothorax is identified . Moderate to severe degenerative changes are noted throughout the thoracic spine . Deformity of of the distal right clavicle with multiple osseous fragments suggests prior remote injury .
    OUTPUT:
    
No acute cardiopulmonary abnormality .