Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . The lungs are well expanded with left apical thickening , likely a sequela of prior radiation treatment . The lungs are otherwise clear . Pulmonary vasculature is within normal limits . Surgical clips in the left axilla are noted .
    OUTPUT:
    
No cardiopulmonary process to explain elevated calcium and vitamin D .