Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . No focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal and hilar contours are normal . There are degenerative changes with bridging osteophytes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate degenerative changes of the thoracic spine .