Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are well expanded and clear . Nipple shadows project over the lower lungs bilaterally on one of the two frontal views . The lungs are clear of consolidation , effusion or pulmonary vascular congestion . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes seen in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .