Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pneumonia , and no effusion or pneumothorax . Biapical pleural scarring is again noted , stable . The pleural surfaces are otherwise smooth . The hilar and cardiomediastinal contours are unchanged , with persistent tortuosity of the thoracic aorta . There is no pulmonary vascular congestion or edema . Degenerative changes are noted in the thoracic spine , without acute compression deformity or evidence of displaced rib fracture . Degenerative changes are also noted in the shoulders .
    OUTPUT:
    
No acute cardiopulmonary process , including no evidence of pneumonia , effusion , or pneumothorax . Dr . ___ was informed of these findings at 4 : 15 p .m . on ___ by Dr . ___ .