Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear within normal limits . Bilateral nipple shadows are again visualized . The lungs appear clear . There is no pleural effusion or pneumothorax . Small anterior osteophytes are present along the lower thoracic spine . The distal right clavicle shows a similar post-traumatic deformity .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .