Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are clear without focal consolidation or effusion . There is no pneumothorax . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes seen in the spine , without acute osseous abnormality . Median sternotomy wires are noted .
    OUTPUT:
    
No acute cardiopulmonary process .