Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous the cardiac silhouette mildly enlarged . There is aortic valve calcification . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen .
    OUTPUT:
    
No acute cardiopulmonary process . No significant interval change .