Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , or pneumothorax is seen . There is no evidence for pulmonary edema . Heart and mediastinal contours are within normal limits . Note is made of aortic tortuosity . The lungs are hyperinflated , as seen previously . Mild thoracic compression deformities are again noted .
    OUTPUT:
    
Hyperinflated lungs without evidence for acute change . Mild thoracic compression fractures , as seen previously .