Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are hyperinflated but clear of focal consolidation , effusion , or pneumothorax . The cardiac silhouette is mildly enlarged , similar to prior . Calcified atherosclerotic calcifications seen at the aortic arch . Tortuosity of the descending thoracic aorta again noted . No acute osseous abnormalities detected .
    OUTPUT:
    
Mild cardiomegaly . No acute cardiopulmonary process .