Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta is tortuous , unchanged . Lungs are hyperinflated . There is no pulmonary edema . Mild coarse interstitial markings are seen bilaterally which could suggest chronic interstitial lung disease . No focal consolidation , pleural effusion or pneumothorax is demonstrated . Multilevel degenerative changes are noted along with S - shaped scoliosis of the thoracolumbar spine . Clips are seen in the upper abdomen from prior cholecystectomy .
    OUTPUT:
    
No focal consolidation to suggest pneumonia .