Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . There are no granulomas or cavitary lesions . There is no evidence of mediastinal adenopathy . The cardiomediastinal silhouette is within normal limits . There are moderate degenerative changes of the thoracic spine .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary process .