Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain clear without focal consolidation or effusion . The cardiomediastinal silhouette is normal . Surgical clips in the upper abdomen are again noted . No acute osseous abnormalities identified . Sclerotic focus in the right humeral head has the appearance of a bone island and is unchanged since ___ .
    OUTPUT:
    
No acute cardiopulmonary process .