Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of focal consolidation , effusion , or vascular congestion . The cardiac silhouette is top - normal in size . No acute osseous abnormalities identified . Chain sutures identified in the left upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process . Please note that given patient 's extensive history , CT would be more sensitive for detection of pulmonary metastases .