Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is mild lower thoracic spine levoscoliosis . The cardiomediastinal silhouettes are unchanged , and within normal limits . The hila are unremarkable . Aortic arch calcifications are again seen . Mild diffuse interstitial prominence may relate to chronic age - related changes , unchanged in comparison to prior radiographs . There may be mild diffuse peribronchial wall thickening , suggestive of small airways inflammation . No focal lung consolidations are seen . The lungs are hyperinflated . There is no evidence of pulmonary vascular congestion . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Mild peribronchial cuffing may represent small airways inflammation in the appropriate clinical setting . Hyperinflated lungs , as on prior . No focal lung consolidations .