Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are clear of focal consolidation , effusion or pneumothorax . The cardiac silhouette is slightly enlarged but similar compared to most recent prior . Hypertrophic changes are seen in the spine and orthopedic hardware in the right humeral head .
    OUTPUT:
    
No acute cardiopulmonary process .