Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The aorta remains tortuous with unchanged dilatation of the ascending aorta . Hilar contours are normal . Lungs are hyperinflated without focal consolidation . No pleural effusion or pneumothorax is identified . Pulmonary vasculature is not engorged . Moderate to severe multilevel degenerative changes are noted within the imaged spine . The osseous structures are diffusely demineralized . Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .