Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No pulmonary edema . No pneumothorax . The hilar and pleural surfaces are unremarkable . The cardiomediastinal silhouette is normal . Anterior flowing osteophytosis of the mid thoracic spine is again noted on the lateral view .
    OUTPUT:
    
No acute cardiopulmonary process .