Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . No pleural abnormality is seen . The heart is normal in size . The mediastinal and hilar contours are unchanged . Anterior vertebral bridging osteophytes are consistent with DISH .
    OUTPUT:
    
No pneumonia . Chest CT would be more sensitive in detecting small pulmonary nodules .