Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is normal . The aorta is tortuous . Chronic bronchiectasis and loss of volume of the right middle lobe and chronic bronchiectasis in the lower lobes bilaterally are better seen in prior CT . There is no pneumothorax or pleural effusion . There are no new lung abnormalities . There are mild degenerative changes in the thoracic spine
    OUTPUT:
    
No acute cardiopulmonary abnormalities