Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal , and hilar contours are normal . Pulmonary vascularity is normal . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . There are multilevel degenerative changes in the thoracic spine with anterior osteophyte formation .
    OUTPUT:
    
No acute cardiopulmonary process .