Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , similar the prior exams . No focal consolidation , effusion , edema , or pneumothorax . The heart is top - normal in size , unchanged . The mediastinum is not widened . No evidence of an acute osseous abnormality . Anterior osteophytes and calcification of anterior longitudinal ligament is noted in the mid thoracic spine .
    OUTPUT:
    
No acute intrathoracic process .