Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: On the hyperinflated . There is no focal consolidation , pleural effusion or pneumothorax . Apical pleural thickening bilaterally is stable . The cardiomediastinal silhouette is normal . The imaged upper abdomen is unremarkable . The bones are intact . Clips in the left upper quadrant are noted . Cervical fusion hardware is noted .
    OUTPUT:
    
No acute cardiopulmonary process .