Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is a rotated to the left . Within this limitation the lungs are grossly clear without effusion , consolidation or edema . Cardiac silhouette is within normal limits . There is tortuosity of the thoracic aorta with atherosclerotic calcifications . Multiple old healed right posterior rib fractures are noted . No acute osseous abnormalities .
    OUTPUT:
    
Limited exam without definite acute cardiopulmonary process .