Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . The aorta is enlarged and tortuous with calcifications , not significantly changed from a prior study . Moderate cardiomegaly , but no pulmonary edema . Osteopenia of the thoracic spine with decrease of height of multiple vertebral bodies unchanged from previous exam .
    OUTPUT:
    
No change from ___ . No acute process including no evidence of pneumonia .