Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . There is unchanged unfolding of the thoracic aorta with an an usual contour consistent with prior aneurysm repair . The ascending aorta appears slightly more prominent since the prior study , and this may be due to patient rotation . The cardiac silhouette is within normal limits . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No significant difference in the prominent descending thoracic aortic contour due to prior aneurysm repair given differences in technique . More prominent appearance of ascending aortic contour may reflect patient rotation . However , if there is Clinical concern for acute aortic pathology , MRA should be obtained . No focal consolidation .