Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well inflated and clear . No pleural effusion or pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . Visualized osseous structures are notable for multiple degenerative changes of thoracolumbar spine with anterior osteophytes , endplate sclerosis and subtle anterior wedging of a mid thoracic vertebral body , unchanged since prior examination . Clips within the right breast are noted .
    OUTPUT:
    
1 . No acute cardiopulmonary process . Specifically no pneumonia . 2 . Degenerative changes of thoracic spine .