Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperexpanded . No focal consolidation is seen . There is no pleural effusion or pneumothorax . Scratch The cardiac and mediastinal silhouettes are stable unremarkable . . Stable appearance of the thoracic spine including multiple laminectomies .
    OUTPUT:
    
No significant interval change . No focal consolidation to suggest pneumonia .