Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal . The mediastinal and hilar contours are unremarkable . No pulmonary vascular engorgement is present . No focal consolidation , pleural effusion or pneumothorax is present . Clips are again demonstrated within the paratracheal region . Lungs are hyperinflated with flattening of the diaphragms . No acute osseous abnormalities seen .
    OUTPUT:
    
No acute cardiopulmonary process .