Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pleural effusion , pneumothorax or focal airspace consolidation . Prominence of the mediastinum and tortuosity of the aorta is unchanged from the prior CT . Heart size and pulmonary vascularity are normal . There is a minimal left apical scarring . Compression deformities of the lower thoracic spine are again noted .
    OUTPUT:
    
No acute cardiopulmonary process .