Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , and the lungs are clear of focal consolidation , pleural effusion or pneumothorax . The heart size is normal . The mediastinal contours are normal . No displaced rib fractures are seen . Vertebral body height loss in the mid-lower thoracic spine is again noted , and degenerative changes are seen in the right shoulder .
    OUTPUT:
    
No acute cardiopulmonary process . No displaced rib fractures are seen . If clinical concern for rib fracture is high , dedicated rib series or CT is more sensitive .