Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again there is mild hyperinflation secondary to emphysema . The lungs are otherwise clear without evidence of consolidation , or edema . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal . Again seen is a small hiatal hernia . Kyphosis of the thoracic spine , and mild loss of height in multiple vertebral bodies appears grossly similar to the prior radiograph from ___ .
    OUTPUT:
    
No focal consolidations concerning for pneumonia identified .