Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are slightly lower in volume compared to prior . They are clear of consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes seen in the spine . No acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary process .