Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiographs are provided . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is unremarkable . Median sternotomy wires are intact . Surgical clips are seen along the left heart border . There are degenerative changes throughout the thoracic spine and at the right acromioclavicular joint .
    OUTPUT:
    
No acute cardiopulmonary process .