Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Extensive spinal fixation hardware is noted . The lungs are clear bilaterally without focal consolidation , effusion , or pneumothorax . Heart size is normal . Mediastinal contour appears unremarkable . Bony structures appear grossly intact . There is a mild dextroscoliosis of the thoracic spine with hardware spanning the entire thoracic spine .
    OUTPUT:
    
No acute intrathoracic process .