Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . The lungs are well expanded and clear without focal consolidation concerning for pneumonia . The upper abdomen is unremarkable . Multilevel degenerative changes are again seen in the thoracic spine without acute osseous abnormality .
    OUTPUT:
    
No acute cardiopulmonary process .