Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy and prosthetic aortic valve placement . Heart size is moderately enlarged . The aorta is tortuous , dilated , and diffusely calcified . Pulmonary vasculature is not engorged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . No acute osseous abnormalities demonstrated . There are moderate multilevel degenerative changes in the imaged thoracolumbar spine with levo scoliosis . Multiple clips are noted projecting over the right second posterolateral rib .
    OUTPUT:
    
Tortuous and dilated thoracic aorta for which comparison with any previous cross - sectional imaging is recommended to assess for presence of an aneurysm . No acute cardiopulmonary abnormality otherwise noted .