Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are mildly hyperinflated . The cardiomediastinal contour is within normal limits . The heart is not enlarged . There is a slightly prominent epicardial fat pad along the right heart border . No consolidation , pneumothorax or pleural effusion seen . There are moderately severe multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process seen . The lungs appear mildly hyperinflated .