Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart remains mildly enlarged but unchanged . The aorta is tortuous . The mediastinal and hilar contours are within normal limits . Pulmonary vascularity is not engorged . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormalities detected .
    OUTPUT:
    
No acute cardiopulmonary process .