Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no pleural effusion or pneumothorax . There is no focal airspace consolidation . Cardiac silhouette is unremarkable . The mediastinal contours are normal . Again noted is an S - shaped thoracolumbar scoliosis with spinal fusion hardware noted .
    OUTPUT:
    
No acute cardiothoracic process .