Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate well - expanded lungs which are clear . There is no pneumothorax or pleural effusion . There is no obvious consolidation , mass , or volume loss visualized on this exam . There is slight cardiomegaly unchanged from prior exam . Again seen are multiple osteophytes along the spine consistent with DISH . Other visualized osseous structures are unremarkable .
    OUTPUT:
    
Essentially unchanged chest radiograph with no evidence of lung mass or consolidation on this exam .