Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior enteric tube and right IJ lines are no longer visualized . The lungs are now clear without consolidation or effusion . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities identified . Hypertrophic changes are noted in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .