Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is identified . The heart size is at the upper limits of normal . The mediastinal contours are normal . There are multilevel degenerative changes seen within the cervical and thoracic spine , with cervical fusion hardware seen in place .
    OUTPUT:
    
No radiographic evidence of acute cardiopulmonary process .