Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are within normal limits . There is no pneumothorax , focal consolidation , or pleural effusion . No osseous lesions are detected , although the sensitivity for spinal lesions is limited with this technique .
    OUTPUT:
    
No acute intrathoracic process . If there remains a high clinical concern for thoracic spinal metastases , MRI can be considered .