Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Transverse cardiomegaly . Unfolded , tortuous thoracic aorta . No airspace consolidation . Small to moderate bilateral pleural effusions . No overt pulmonary edema . No pneumothorax . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Cardiomegaly . Bilateral pleural effusions . No pneumonia . Tortuous , unfolded thoracic aorta . Aneurysm can not be excluded .