Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No consolidation or edema is noted . The mediastinum is unremarkable . The cardiac silhouette is within normal limits for size . No effusion or pneumothorax is noted . The visualized osseous structures reveal diffuse bridging osteophytes anteriorly .
    OUTPUT:
    
No acute pulmonary process . In light of apparent clinical symptoms , consider nonurgent outpatient high - resolution chest CT for further evaluation .