Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . Cardiomediastinal silhouette is unremarkable . There is no pneumothorax or pleural effusion . Spinal fusion hardware is noted in the lower thoracic spine . A left nipple shadow is noted , along with a possible simlar nipple shadow on the right .
    OUTPUT:
    
No acute cardiopulmonary process .