Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no lobar consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is largely unchanged from the prior examination . Moderate dextroscoliosis is again noted centered in the lower thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .