Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . The aorta is tortuous . The lungs are clear without focal consolidation , pleural effusion or pneumothorax . Minimal gas is seen within the stomach . There is moderate to severe degenerative change throughout the thoracic spine . Mid left clavicular fracture is as seen on dedicated shoulder films .
    OUTPUT:
    
No acute intrathoracic process . Moderate to severe degenerative change throughout the thoracic spine . Mid left clavicular fracture as seen on dedicated shoulder films .