Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The patient is rotated to the left . The lungs are clear of focal consolidation or effusion . The cardiomediastinal silhouette is within normal limits given rotation . No acute osseous abnormality is detected . Hypertrophic changes are noted in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .