Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is identified . Multilevel moderate hypertrophic changes are seen throughout the imaged thoracolumbar spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .