Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is unchanged . There is no focal consolidation , pleural effusion , vascular congestion , or pneumothorax . No fracture is identified . Multilevel degenerative changes of the thoracic and upper lumbar spine are grossly similar from ___ .
    OUTPUT:
    
No acute cardiopulmonary process or fracture .