Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hypoinflated . Moderate cardiomegaly persists . There is severe elongation of the calcified descending aorta , as before . No new focal consolidation is identified . There is no pleural effusion or pulmonary edema . A pleural plaque is seen projecting over the right lower lung , unchanged compared to multiple prior studies . S - shaped scoliosis is again noted .
    OUTPUT:
    
Hypoinflated lungs without evidence of focal consolidation .