Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . A left chest wall catheter tip terminates at the cavoatrial junction . The cardiomediastinal silhouette is normal . Imaged upper abdomen is unremarkable . There are mild multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .