Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are moderately well inflated . No pleural effusion or pneumothorax . Heart size and mediastinal contour are unremarkable . Mild prominence of the right hila is unchanged since ___ . Atherosclerotic calcifications of the aortic arch are noted . Limited assessment of the osseous structures are notable for multilevel degenerative changes of the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process . Specifically , no pneumonia .