Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear stable . There is a small to moderate hiatal hernia . There is no pleural effusion or pneumothorax . The lungs appear clear . Two adjacent thoracolumbar vertebral bodies again show vertebroplasty - related changes . The patient is also status post right shoulder replacement .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .