Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . The lungs are clear of consolidation , effusion , or pulmonary vascular congestion . Cardiomediastinal silhouette is within normal limits and unchanged in configuration compared to prior . No acute osseous abnormality detected . Hypertrophic changes are seen in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .