Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta The mediastinal and hilar contours are otherwise unremarkable . The pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is present . Hypertrophic changes are noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .