Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no edema , effusion , or pneumothorax . The cardiomediastinal silhouette is within normal limits . Atherosclerotic calcifications are noted the aortic arch . Old healed right lateral rib fracture is again seen . Vertebroplasty changes are noted in the lumbar spine .
    OUTPUT:
    
No acute cardiopulmonary process .