Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is little interval change in comparison to prior study . The mediastinum appears grossly normal . The cardiac contour appears normal . The lungs are clear with no evidence of a focal consolidation , effusion , or pneumothorax . Osseous structures are grossly unremarkable .
    OUTPUT:
    
Little change in comparison to prior study with no acute cardiopulmonary process identified .