Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs demonstrate tortuous aorta and large hiatal hernia . However , the lungs are clear . There is no pleural effusion or pneumothorax . Degenerative changes of the humeral joints thoracic spine noted . This includes age - interminate compression deformities of the thoracolumbar spine .
    OUTPUT:
    
No acute cardiopulmonary process .