Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unremarkable . Lungs are hyperinflated with emphysematous changes noted . No focal consolidation , pleural effusion or pneumothorax is present . Pulmonary vasculature is not engorged . There are no acute osseous abnormalities identified . Moderate multilevel degenerate changes are seen in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .