Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear stable . Mitral annular calcifications are prominent . The aorta is largely calcified . As seen previously , there is rightward deviation of the mid trachea probably associated with thyroid enlargement and unchanged . There is no pleural effusion or pneumothorax . The lungs appear clear . There is mildly exaggerated kyphotic curvature , as before , with mild multilevel degenerative changes seen throughout the mid to lower thoracic spine . The bones appear demineralized .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .