Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear . There is no visualized pneumothorax or large effusion . Relative elevation of the left hemidiaphragm is noted with distention of the stomach . Cardiomediastinal silhouette is grossly within normal limits given projection in AP technique . Tortuosity of the descending thoracic aorta is noted with atherosclerotic calcifications . No displaced fractures identified , hypertrophic changes are noted in the spine .
    OUTPUT:
    
No definite acute cardiopulmonary process .