Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is unchanged with prominent left cardiophrenic angle fat pad with with .
    OUTPUT:
    
No acute cardiopulmonary process . No mediastinal widening . If there is clinical concern for aortic with dissection , consider CTA of the chest .