Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear with no evidence of a consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is normal . The aorta appears tortuous . Bones are diffusely demineralized and limited evaluation for an acute fracture . However , no acute fractures are identified . Mild degenerative changes are visualized throughout the thoracolumbar spine .
    OUTPUT:
    
No acute cardiopulmonary process . Osteopenia with no evidence of a fracture .