Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are slightly decreased from the most recent prior study . The lungs are clear without focal consolidation concerning for pneumonia , pleural effusion or pneumothorax . Minimal bi-apical pleural thickening is noted . The pulmonary vasculature is not engorged and there is no pulmonary edema . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . Multilevel degenerative changes are noted throughout the thoracic spine with mildly exaggerated kyphotic curvature .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Multilevel DJD of the thoracic spine .