Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant change compared to the prior exam . The lungs are well - expanded and clear . No focal consolidation , pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette , hila , and pleura are within normal limits . No acute osseous abnormality .
    OUTPUT:
    
No acute cardiopulmonary process , including no focal consolidation to suggest pneumonia .