Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The lungs are grossly clear . Somewhat unchanged right apical pleural capping is seen . The lung parenchyma is clear . There are extensive proliferative changes identified within the visualized thoracic spine without evidence of renal osteodystrophy . There is a small focal density projected in the anterior aspect of the heart , unchanged
    OUTPUT:
    
No acute findings .