Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Exam is limited due to low inspiratory effort and patient body habitus . The lungs are grossly clear . Cardiac silhouette appears enlarged but could be for technical reasons mentioned above . No free air seen below the diaphragm . Hypertrophic changes noted in the spine .
    OUTPUT:
    
No definite acute cardiopulmonary process .