Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is top - normal . Tortuous aorta is unchanged . Small bilateral effusions have almost completely resolved . The lungs are hyper inflated . There is no evidence of pulmonary edema or consolidations . There is no pneumothorax . There are mild degenerative changes in the thoracic spine and kyphosis
    OUTPUT:
    
No evidence of pneumonia or pulmonary edema