Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is mildly enlarged with a left ventricular predominance , as seen previously . The mediastinal hilar contours are unchanged and within normal limits . The pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is present . Left rib cage deformities and expansile lesion involving the right eighth rib are re - demonstrated . Fusion hardware within the mid thoracic spine is incompletely assessed .
    OUTPUT:
    
No acute cardiopulmonary abnormality .