Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal with prominent fat pads re - demonstrated . Mediastinal and hilar contours are normal . Lungs are clear and the pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is seen . Minimal degenerative changes are noted in the thoracic spine . Deformity of the distal left clavicle indicates prior trauma .
    OUTPUT:
    
No acute cardiopulmonary process .