Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Post - surgical changes from a prior left lower lobectomy are unchanged from ___ with persistent volume loss , tenting of the diaphragm , and old rib deformities . There is no focal opacity , pulmonary edema , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Compared to the prior exam , degenerative changes of the thoracic spine have significantly worsened with large anterior flowing osteophytes .
    OUTPUT:
    
No acute cardiopulmonary process ; specifically , no evidence of pneumonia .