Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflated lungs suggest obstructive disease . There is no focal consolidation , effusion , or pneumothorax . Mediastinal and hilar contours are normal . Heart size is normal . There is no evidence of rib or compression fracture . There are calcifications in the origins of the head and neck vessels .
    OUTPUT:
    
1 . No pneumothorax . 2 . No evidence of rib or compression fracture . If clinical concern persists , recommend oblique rib views for further evaluation . 3 . Hyperinflated lungs suggests obstructive disease . 4 . Calcifications in the origins of the head and neck vessels .