Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . The lungs appear clear without focal consolidation , effusion or pneumothorax . No signs of CHF . No findings to suggest malignancy . Cardiomediastinal silhouette is normal . Bony structures are intact with mild anterior spurring in the mid T - spine . No free air below the right hemidiaphragm .
    OUTPUT:
    
No acute intrathoracic process . No evidence of malignancy . If there is strong clinical concern , a CT is a more sensitive exam for detection of small lung nodules .