Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear of consolidation , effusion , or vascular congestion . The cardiomediastinal silhouette is within normal limits . Descending thoracic aorta is tortuous and atherosclerotic calcifications are noted at the arch . Hypertrophic changes of the spine . Moderate hiatal hernia is visualized .
    OUTPUT:
    
No acute cardiopulmonary process .