Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . Mediastinal and cardiac contours are normal . There is no pleural effusion or pneumothorax . Patient has prior kyphoplasty of lower thoracic spine .
    OUTPUT:
    
There are no acute cardiopulmonary findings and no evidence of pneumonia . This has been discussed directly by telephone to Dr . ___ .