Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Marked rotary dextroscoliosis of the thoracic spine is present . Heart size appears mildly enlarged . The aorta is tortuous . The mediastinal and hilar contours are otherwise unremarkable . Pulmonary vasculature is not engorged . Lungs are grossly clear . No pleural effusion or pneumothorax is present . No acute osseous abnormality is clearly seen .
    OUTPUT:
    
Marked rotary dextroscoliosis . No acute cardiopulmonary abnormality .