Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes , as noted previously . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiac silhouette is unchanged and normal in size . The mediastinal contours are normal . There is no visible osseous abnormality on the frontal view . Note is again made of multilevel degenerative change of the thoracic spine .
    OUTPUT:
    
1 . Low lung volumes , without acute chest pathology . 2 . No osseous lesion identified . If there is continued clinical concern , recommend repeat dedicated rib radiographs with a BB marker to indicate the site of the patient 's pain .