Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . There is mild tortuousity of the descending aorta . Lungs are hyperexpanded . Apical pleural thickening and blebs are again noted and unchanged from prior examination . There is no focal consolidation , pleural effusion or pneumothorax . Again seen is mild anterior wedge deformity in the midthoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .