Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views chest . The lungs are clear without consolidation , effusion , or pulmonary vascular congestion cardiomediastinal silhouette is within normal limits . Vertebroplasty changes are noted in the upper lumbar spine as on prior . No acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary process .