Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated and clear . No focal consolidation , effusion , or pneumothorax is present . There are diffuse flowing anterior osteophytes in the thoracic spine . Cardiac and mediastinal contours are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process . Please refer to the concurrently obtained CT report for better assessment of small nodules .