Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Relatively low lung volumes are seen with secondary crowding of bronchovascular markings . The lungs are clear consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes are seen in the spine . No acute osseous abnormalities detected identified .
    OUTPUT:
    
No acute cardiopulmonary process .