Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . There is moderate tortuosity of the thoracic aorta . A small eventration is noted along the anterior right hemidiaphragm . The lungs appear clear . There are no pleural effusions or pneumothorax . There is no suggestion of hiatal hernia on these radiographs . The bones are probably demineralized to some degree . Mild degenerative changes involve the mid thoracic spine and left acromioclavicular joint .
    OUTPUT:
    
No evidence of acute disease . Tortuous aorta , often seen in the setting of hypertension . No evidence for hiatal hernia .