Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged with a left ventricular predominance . The aorta is tortuous . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is demonstrated . Chronic fracture deformity of the left proximal humerus is re - demonstrated . There are mild degenerative changes seen in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .