Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without consolidation or pulmonary edema . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal other than atherosclerotic calcifications of the aortic arch and dense calcifications of the mitral annulus . A dextroscoliosis in the mid thoracic spine is unchanged . No fracture is identified . Surgical clips are noted in the right upper quadrant , and likely from a prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary process . No evidence of fracture .