Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouettes are stable and within normal limits . The bilateral hila are unremarkable . The lungs are hyperinflated , as on prior . Lungs are otherwise clear without focal consolidation . There is no evidence of pulmonary vascular congestion . Right apical pleural parenchymal scarring is noted , unchanged . A mid thoracic vertebral body compression deformity is unchanged . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
No acute cardiopulmonary process .