Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . There is no pleural effusion , pneumothorax or focal airspace consolidation . The heart size is normal and unchanged . The mediastinal and hilar structures are unremarkable . Cervical fusion hardware is noted . There are degenerative changes within the right acromioclavicular joint .
    OUTPUT:
    
No acute cardiopulmonary process .