Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiograph was provided . Lungs are somewhat hyperinflated . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is normal . An old fracture of the right ninth posterior rib is again seen . There are multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .