Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is again noted as well as significant tortuosity of the aorta , particularly at its distal descending portion . The lungs are clear without consolidation , effusion , or edema . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly and significant tortuosity of the descending thoracic aorta . No acute cardiopulmonary process .