Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is top normal with a left ventricular predominance . Aorta is slightly unfolded . Mediastinal and hilar contours are normal . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . Multilevel degenerative changes are noted in the thoracic spine with anterior flowing osteophytes .
    OUTPUT:
    
No acute cardiopulmonary abnormality .