Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unchanged and within normal limits . The pulmonary vascularity is not engorged . Scarring within the lung apices is unchanged . There is no new focal consolidation , pleural effusion or pneumothorax identified . Diffuse demineralization of the osseous structures is present with thoracic levoscoliosis again noted . Multiple old left - sided rib fractures are again seen . There are multiple anterior wedge compression deformities within the thoracic spine with thoracic kyphosis , unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality .