Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms compatible with COPD . Heart size is normal . The aorta remains tortuous and the remainder of the mediastinal and hilar contours are unremarkable . The pulmonary vasculature is normal . Minimal atelectatic changes are noted in the lung bases . No focal consolidation , pleural effusion or pneumothorax is present . Moderate to severe multilevel degenerative changes are re - demonstrated in the mid to lower thoracic spine with mild loss of height of a low thoracic vertebral body which is chronic .
    OUTPUT:
    
Mild bibasilar atelectasis . No focal consolidation to suggest pneumonia .