Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated without focal consolidation concerning for pneumonia , pleural effusion or pneumothorax . The pulmonary vasculature is not engorged , and there is no overt pulmonary edema . Evidence of a small hiatal hernia is unchanged . The cardiomediastinal and hilar contours are within normal limits . Kyphosis of the thoracic spine and mild loss of height of multiple vertebral bodies is not significantly changed from the prior study . There is evidence of old injury to the right mid-shaft of the clavicle .
    OUTPUT:
    
No focal consolidation concerning for pneumonia .