Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . The mediastinal and hilar contours appear unchanged . There is probably a hiatal hernia but not as well demonstrated on this examination . There is similar background coarsening of lung markings , but otherwise the lungs appear clear . The lungs are hyperinflated . There is no pleural effusion or pneumothorax . Surgical clips project over the right upper quadrant . There is moderate rightward convex curvature centered along the thoracolumbar junction . The bones appear demineralized . Mild - to - moderate vertebral body height loss with a biconcave configuration along an upper lumbar vertebral body appears unchanged . Bones are difficult to evaluate , however , owing to marked demineralization . There is a lucency in the left scapula that probably represents an artifact or nutrient foramen . However , dedicated radiographs could be considered if symptoms , if any , refer to this area .
    OUTPUT:
    
1 . No evidence of acute disease . 2 . Non-displaced lucency in the scapula neck , probably an artifact or nutrient foramen , although additional investigation could be considered if any symptoms or physical signs suggest the potential for trauma to the area .