Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs : The lungs are well inflated . There is no consolidation . Pleura : No pleural effusion is seen . Heart : The heart is not enlarged . Mediastinum and hila : There is no mediastinal mass . Osseous structures : Hypertrophic changes are seen in the dorsal spine . Other findings : None
    OUTPUT:
    
Lungs clear . NO PNEUMOTHORAX IDENTIFIED . NO CHANGE