Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . Flattening of the diaphragms bilaterally may be secondary to emphysema . Clips are seen in the right paramediastinal region and elevation of the right hilum , likely from a prior resection . No focal consolidations concerning for pneumonia are identified . There is no pleural effusion , pneumothorax . Moderate degenerative changes within the visualized thoracic spine .
    OUTPUT:
    
No focal consolidations concerning for pneumonia identified .