Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated to the left . The lungs are grossly clear . There is no consolidation or effusion . The cardiomediastinal silhouette is grossly within normal limits given patient 's rotation . No acute osseous abnormalities identified . Hypertrophic changes noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .