Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and there is flattening of the hemidiaphragms . Heart size is likely accentuated by the AP technique . Lungs are clear with no evidence of pneumonia or pulmonary edema . No pleural effusion . There is significant thoracic spine kyphosis and generalized demineralization .
    OUTPUT:
    
Hyperinflated , clear lungs . No evidence of pneumonia .