Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is markedly kyphotic . Cardiac silhouette size remains mild to moderately enlarged . Mediastinal contour is similar with tortuosity of the thoracic aorta again noted . Lungs are hyperinflated without focal consolidation . Interstitial opacities are seen within the lung bases as well as the right upper lobe , potentially atelectasis or chronic interstitial change . Pulmonary vasculature is not engorged . No pleural effusion or pneumothorax is present . Renal osteodystrophy is again noted with loss of height of several thoracic vertebral bodies . Multiple clips are noted in in the region of the gastroesophageal junction .
    OUTPUT:
    
No radiographic evidence for pneumonia .