Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . The is no pleural effusion , pneumothorax or focal airspace consolidation . There is likely an epicardial fat pad . The cardiac silhouette is mildly enlarged . The pulmonary vasculature is normal . The mediastinal and hilar structures are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .