Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: THE LUNGS REMAIN ESSENTIALLY CLEAR . THE HEART IS WITHIN NORMAL LIMITS IN SIZE . THE AORTA IS MILDLY TORTUOUS . THERE IS SCATTERED ATHEROSCLEROTIC CALCIFICATION AS DEMONSTRATED EARLIER . DEGENERATIVE CHANGES ARE AGAIN NOTED IN THE SPINE . THERE IS NO SIGNIFICANT CHANGE .
    OUTPUT:
    
NO ACTIVE PULMONARY DISEASE . ASCVD .