Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear . There is no focal consolidation or pneumothorax . There is no vascular congestion or pleural effusions . Cardiomediastinal and hilar contours are within normal limits . Dextroscoliosis of the imaged thoracic spine is unchanged from prior . Thoracic spine hardware appears grossly intact and unchanged from prior , though incompletely evaluated on this chest examination .
    OUTPUT:
    
No acute pulmonary process .