Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . The lungs are clear of focal consolidation . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes seen in the spine and incidental note is made of a right - sided cervical rib . Degenerative change is seen at the left shoulder .
    OUTPUT:
    
No acute cardiopulmonary process .