Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouette and pulmonary vasculature are unchanged and unremarkable . Endobronchial valves are again seen , projecting over the left hilar region . Again seen is left upper lobe atelectasis . No definite focal consolidation , pleural effusion , or pneumothorax is identified . Again noted is vertebral body height loss in the mid thoracic spine .
    OUTPUT:
    
No significant change from prior .