Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated but clear . No focal consolidations concerning pneumonia are identified . The heart size is normal . The hilar and mediastinal contours are normal . There is no pleural effusion , or pneumothorax . The visualized osseous structures are notable for multilevel laminectomies spanning majority of the mid to lower thoracic spine .
    OUTPUT:
    
No focal consolidations concerning for pneumonia identified .