Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without consolidation , effusion , or edema . There is mild cardiomegaly . Tortuosity of the descending thoracic aorta is again noted . There are hypertrophic changes in the spine and a compression deformity of a lower thoracic vertebral body which is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .