Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . Cardiomediastinal silhouette and hilar contours appear unremarkable . Two spinal fixation devices are again seen projecting over spine . The one on the right side is broken , but has been for at least a year . No evidence of pleural effusion or pneumothorax .
    OUTPUT:
    
No evidence of acute cardiopulmonary issues .