Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no focal consolidation or pneumothorax . There is no vascular congestion or pleural effusions . Mediastinal and hilar contours are within normal limits . Mild enlargement of the cardiac silhouette is unchanged from prior . Surgical clips are again noted in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process .