Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are symmetrically well expanded and well aerated without focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal and hilar contours are within normal limits . Hypertrophic changes of the lower thoracic spine are noted on the lateral view .
    OUTPUT:
    
No acute cardiopulmonary process .