Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without consolidation or edema . There is no pleural effusion or pneumothorax . Bilateral flattening of the hemidiaphragms is unchanged from the prior exam . The cardiomediastinal silhouette is normal . No rib fracture is identified . The patient is rotated on the lateral image , which somewhat limits examination of the thoracic spine , but no definite compression fracture is identified . Degenerative changes are noted in the bilateral shoulders , slightly more prominent on the left than the right .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary process 2 . No fracture identified .