Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate normal heart size , mediastinal and hilar contours . The lungs are clear . No pleural effusion or pneumothorax . An opacity projecting over the mid thoracic spine on the lateral view was demonstrated to be a large osteophyte on the prior CT .
    OUTPUT:
    
No acute process to explain hemoptysis