Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart appears mildly enlarged . Incidental note is made of an azygos fissure consistent with a normal variant . The aorta is calcified . There is no pleural effusion or pneumothorax . Patchy left basilar opacities are probably due to minor atelectasis . The right acromiohumeral interval is effaced , which often suggests rotator cuff pathology . There is no obvious rib fracture . Moderate degenerative changes affect the lower lumbar spine . The bones appear demineralized . The vertebral body heights appear maintained aside from mild probably chronic loss in height of an upper thoracic vertebral body .
    OUTPUT:
    
No evidence of injury .