Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta is tortuous , with the ascending aorta and aortic arch appearing dilated , unchanged . Atherosclerotic calcifications are noted at the aortic knob . The pulmonary vascularity is normal . The lungs are clear . No pleural effusion or pneumothorax is demonstrated . Surgical anchors are seen within the right humeral head . Remote left - sided rib fractures noted . Several clips are seen within the upper abdomen on the lateral view . There are mild degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .