Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are noted with crowding of the bronchovascular markings . The lungs are clear without consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes are noted in the spine . Orthopedic hardware seen in the right humeral head .
    OUTPUT:
    
No acute cardiopulmonary process .