Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unchanged , with mild tortuosity of the descending thoracic aorta again noted . Pulmonary vascularity is normal . No focal consolidation , pleural effusion or pneumothorax is present . Scarring within the lung apices is present . There are no acute osseous abnormalities . Remote fractures of several left sided ribs are re - demonstrated .
    OUTPUT:
    
No acute cardiopulmonary process .