Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right PICC has been removed . Spinal hardware is unchanged . There is no focal consolidation , pleural effusion or pneumothorax . The nodular opacity noted on the prior radiograph overlying the anterior right second rib is not clearly visualized , likely representing summation of shadows . The cardiomediastinal silhouette is stable with calcified tortuous aorta . Note is made of pectus deformity . There multilevel degenerate changes in the thoracic spine with mild compression deformities in the midthoracic spine . Imaged upper abdomen is unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process . This study was reviewed with Dr . ___ , ___ radiologist .