Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are normal . Pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is present . There are no acute osseous abnormalities . Multilevel degenerative changes with anterior osteophyte formation are seen within the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .