Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exam is somewhat limited by the patient 's positioning . Heart size remains moderately enlarged . Mediastinal and hilar contours are similar , with no pulmonary vascular congestion identified . Diffuse atherosclerotic calcifications of the thoracic aorta is noted . No focal consolidation , pleural effusion or pneumothorax is seen . Minimal atelectasis is noted in the left lung base . Numerous remote right - sided rib fractures are again demonstrated . Multilevel degenerative changes are noted in the thoracic thoracolumbar spine .
    OUTPUT:
    
No radiographic evidence for pneumonia .