Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient upright position . The heart size is within normal limits . No typical configurational abnormalities identified . Thoracic aorta is generally widened and moderately elongated but no local contour abnormalities are identified . Pulmonary vasculature is not congested . No evidence of acute or chronic parenchymal infiltrates is present . The diaphragms are slightly low positioned and bases are somewhat hyperinflated , raising the possibility of COPD . Again acute parenchymal infiltrates , however , can not be identified . In the lateral view , the lower half of the thoracic spine demonstrates moderate degree of osteophytic reactions bridging the anterior contours of three to four vertebral bodies in the lower thoracic spine . There is , however , no conclusive evidence of any vertebral body compression fracture . Observed that lumbar spine examination is performed independently from this chest examination . Our records do not include a previous chest examination available for comparison .
    OUTPUT:
    
No acute cardiovascular or pulmonary abnormalities on chest examination . Mild - to - moderate degree of degenerative changes in the lower thoracic spine . In lower chest some suggestive findings for COPD , but no acute infiltrates .