Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . The lungs are clear without focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
No acute cardiopulmonary process . No evidence of pulmonary metastatic disease , however CT is more sensitive for the detection of small pulmonary nodules .