Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated but without focal consolidation . The cardiac and mediastinal silhouettes are stable . The aorta remains calcified and tortuous . No pleural effusion or pneumothorax is seen . Prominent anterior lateral osteophyte is noted in the lower thoracic spine . There may be minimal retrolisthesis at a level in the lower thoracic spine , likely stable since the prior study .
    OUTPUT:
    
No acute cardiopulmonary process . Persistently hyperinflated lungs .