Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . There is right middle lobe and lingular scaring , best seen on lateral view , consistent with history ___ ___ , without evidence of a superimposed acute process . There is no pneumothorax or pleural effusion . Moderate cardiomegaly is unchanged from prior exam . The thoracic aorta is again noted to be tortuous . Acute angle kyphosis of the spine is seen . Moderate T4 and severe T9 compression deformities are seen , new since ___ , but age indeterminate .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Moderate T4 and severe T9 compression deformities are seen , new since ___ , but age indeterminate . Recommend clinical correlation . These findings were communicated to Dr . ___ at 4 :19 p .m . on ___ by phone .