Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant change compared with the most recent prior radiograph . The lungs are clear . No effusion or pneumothorax is present . There is no evidence of pulmonary vascular congestion . The cardiomediastinal silhouette is normal . The aortic knob is calcified . There is unchanged appearance of S - shaped thoracolumbar scoliosis and upper thoracic vertebral body compression fracture .
    OUTPUT:
    
No acute cardiopulmonary process . Telephone communication to Dr . ___ by Dr . ___ at 11 :42 on ___ per request .