Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Somewhat lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings . There is no confluent consolidation or large effusion noting that the right poster costophrenic angle is excluded from the field of view and . Cardiomediastinal silhouette is stable , thoracic aorta is tortuous . Hypertrophic changes are seen in the spine .
    OUTPUT:
    
No definite acute cardiopulmonary process .