Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is no focal consolidation , pleural effusion , or pneumothorax . Mild cardiomegaly is unchanged . Mediastinal silhouette and hilar contours are normal . Surgical clips in the upper abdomen are again noted . DISH in the thoracic spine is similar to the prior study .
    OUTPUT:
    
No acute intrathoracic process .