Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are markedly low lung volumes bilaterally , with crowding of bronchovasculature with no areas of focal consolidation , pleural effusion , mass lesions or evidence of vascular congestion . There is no pneumothorax . The cardiomediastinal silhouette is within normal limits . The pleural surfaces are unremarkable . There are stable multilevel degenerative changes seen in the thoracic spine .
    OUTPUT:
    
No evidence of malignancy or infection . These results were reported to Dr . ___ at 5 :05 p .m . via phone by ___ ___ .