Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the cardiac silhouette is unchanged . The aorta remains tortuous with diffuse atherosclerotic calcifications . Mediastinal and hilar contours are unremarkable . The pulmonary vasculature is normal . Punctate granulomas are again seen in the lungs . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary abnormality .