Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , but are clear of focal consolidation , effusion , or pulmonary vascular congestion . Cardiomediastinal silhouette is within normal limits . Moderate hiatal hernia is again seen . Hypertrophic changes seen in the spine , without acute osseous abnormality .
    OUTPUT:
    
No acute cardiopulmonary process . No evidence of pneumonia .