Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is borderline enlarged . The aorta is tortuous . Mediastinal and hilar contours otherwise are unremarkable . The pulmonary vascularity is normal . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Kyphosis of the thoracic spine with mild anterior wedging of a mid thoracic vertebral body is noted . There are multilevel degenerative changes seen within the imaged thoracic spine with intervertebral disc space narrowing , osteophyte formation , and endplate irregularity .
    OUTPUT:
    
No acute cardiopulmonary process .