Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As before , there is basilar atelectasis but no consolidation worrisome for pneumonia . Small bilateral pleural effusions persist . Cardiomegaly persists . As before , there is aortic arch calcification and descending aortic calcification indicating atherosclerosis . As before , there are multiple compression fractures in the mid thoracic spine with kyphosis . There is a central compression fracture in the lower thoracic spine , as before . No definite new fractures , though the bones are osteopenic , limiting sensitivity for detection of subtle fractures .
    OUTPUT:
    
No definite pneumonia with persistent atelectasis and small pleural effusions . Multiple compression fractures of the thoracic spine , as before .