Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are appropriate . The lungs are clear without pleural effusion , focal consolidation or pneumothorax . The pulmonary vasculature is not engorged . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . Multiple surgical clips are again noted in the left upper quadrant of the abdomen , with mild elevation of the left hemidiaphragm which is unchanged from multiple priors . Anterior cervical fixation hardware is also unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .