Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear without focal consolidation , nodule , or mass . There is no effusion or pneumothorax . Pleural surfaces are smooth . Hilar and cardiomediastinal contours are normal . There is no pulmonary vascular congestion or edema . The aorta is mildly tortuous . Post-surgical changes are identified in the region of the gastroesophageal junction . There is no free air in the upper abdomen . Degenerative changes are noted in the thoracic and more so lumbar spine . No acute osseous abnormalities .
    OUTPUT:
    
No radiographic evidence of malignancy or other acute cardiopulmonary process .