Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear focal consolidation , effusion , or vascular congestion . The cardiomediastinal silhouette is stable . Tortuosity of the descending thoracic aorta with atherosclerotic calcifications is again noted . Hypertrophic changes are noted in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .