Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is prominent dextroconvex scoliosis of the thoracic spine with associated distortion of the thoracic cage . The lungs are well expanded . There is bilateral interstitial prominence . The heart is moderately enlarged . No pleural effusion . No definite focal consolidation to suggest pneumonia . No pneumothorax . Aortic knob calcifications are noted and the descending thoracic aorta is tortuous . Extensive degenerative changes of the visualized spine are noted . No definite acute fracture . Extensive degenerative changes of AC joint are noted .
    OUTPUT:
    
1 . Moderate cardiomegaly . 2 . No definite acute fracture , however chest radiograph is not the optimal exam for this .