Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Kyphotic curvature of the spine accentuates lung volumes . The lungs are well expanded and clear without focal consolidation , pleural effusion or pneumothorax . The pulmonary vasculature is not engorged . The cardiomediastinal contours are within normal limits with a tortuous thoracic aorta . No acute osseous abnormality is detected .
    OUTPUT:
    
No acute cardiothoracic process .