Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are symmetrically well - expanded and well aerated without focal consolidation , pleural effusion or pneumothorax . No pulmonary lesions are detected by conventional radiography . The pulmonary vasculature is not engorged . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . No acute osseous abnormality is detected . Multilevel degenerative changes are seen throughout the mid to lower thoracic spine . There is mild dextro convex curvature of the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process . No radiographic evidence of malignancy .