Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tortuosity of the descending thoracic aorta is noted . The cardiomediastinal and hilar contours are otherwise within normal limits . There is no pleural effusion or pneumothorax . The lungs are well - expanded and without focal consolidation concerning for pneumonia . Bibasilar atelectasis is present . Small nodular opacities at the lung apices are noted , which may be projectional or represent pulmonary nodules . These were not clearly present on the prior exam . The upper abdomen is unremarkable in appearance . Multiple compression fractures of the lower thoracic spine are noted .
    OUTPUT:
    
1 . No pneumonia or other acute process . 2 . Nodular opacities in both lung apices , which may be projectional .