Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . Cardiac silhouette is top - normal to mildly enlarged . Mediastinal contours are unremarkable . There is no pulmonary edema . Multi - level degenerative changes including multilevel anterior osteophytes are seen along the thoracic spine .
    OUTPUT:
    
No pulmonary edema pleural effusion seen . Top - normal to mildly enlarged cardiac silhouette .