Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The aorta is again mildly tortuous . There is no pleural effusion or pneumothorax . The chest is hyperinflated . The lungs appear clear . Small - to - moderate anterior osteophytes are present along several lower thoracic levels . There is a healed right posterolateral eighth rib .
    OUTPUT:
    
Hyperinflation . No evidence of acute disease .