Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are very low , this was also the case on the prior study from ___ . The cardiomediastinal contour is unchanged . The heart is not grossly enlarged . No consolidation , pneumothorax or pleural effusion seen . There are multilevel flowing vertebral osteophytes consistent with DISH .
    OUTPUT:
    
No acute cardiopulmonary process seen , lung volumes are noted to be low .