Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . Cardiomediastinal silhouette is unremarkable . Osseous structures are intact . There is a " rugger ___ " appearance of the spine , consistent with renal osteodystrophy .
    OUTPUT:
    
No acute cardiopulmonary process .