Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . The lungs remain clear of focal consolidation , effusion , or pulmonary vascular congestion . The cardiomediastinal silhouette is within normal limits , again noting a tortuous aorta . No acute osseous abnormality detected . Noting hypertrophic changes in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .