Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is re- demonstrated , unchanged . The aorta remains tortuous . Mediastinal and hilar contours are similar . Pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is seen . Lungs are hyperinflated . Mild degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .