Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left apical pleural and parenchymal fibrosis with associated volume loss is consistent with radiation fibrosis in the setting of previous left mastectomy . There is no focal consolidation , pleural effusion or pneumothorax . The heart is mildly enlarged , and mediastinal and hilar contours are normal . Surgical clips projecting over the left axilla and right upper abdominal quadrant are again noted . Scoliosis is noted .
    OUTPUT:
    
No acute cardiopulmonary process .