Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear . There is no pneumothorax . The heart and mediastinum are not enlarged , and likely displaced by a moderate hiatal hernia . Moderate levoscoliosis of the thoracic spine has increased since ___ , along with extensive spinal degenerative changes . Age-indeterminate compression deformities of at least two lower thoracic vertebrae are suspected .
    OUTPUT:
    
Clear lungs without evidence of aspiration or pneumonia . Increased moderate levoscoliosis of the lower thoracic spine as compared to ___ with suspicion of multiple age - indeterminate compression fractures . A dedicated spine series may be performed for further evaluation if clinically warranted .