Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . The mediastinal and hilar contours appear unchanged . A prominent pericardial fat pad again is noted about the right costophrenic sulcus as well as the apex of the heart . The minor fissure is again slightly thickened . The lungs appear clear . Hyperinflation is noted . There is no pleural effusion or pneumothorax . Mild degenerative changes are similar along the thoracic spine .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .