Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are clear , there is no effusion or pulmonary vascular congestion . Cardiomediastinal silhouette is unchanged . Hypertrophic changes again noted in the spine . Degenerative changes noted at the right acromioclavicular joint .
    OUTPUT:
    
No acute cardiopulmonary process .