Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart remains moderate to severely enlarged . The aorta is tortuous . While there are continued increased intersitital markings suggestive of mild chronic pulmonary vascular congestion , no overt pulmonary edema is demonstrated . No focal consolidation , pleural effusion or pneumothorax is seen . Extensive anterior flowing osteophytes are noted within the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .