Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are clear of consolidation , effusion , or pulmonary vascular congestion . The cardiomediastinal silhouette is stable when compared to prior . Hypertrophic changes are seen in the spine without acute osseous abnormality .
    OUTPUT:
    
No acute cardiopulmonary process .