Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest including a total of three views . The lungs are hyperinflated but clear of focal consolidation or effusion . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormality is identified . Hypertrophic changes are noted in the thoracic spine .
    OUTPUT:
    
Hyperinflation without acute cardiopulmonary process .