Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with chest radiograph from ___ , there is no relevant change . There is no focal consolidation , effusion , or pneumothorax . Specifically , there is no evidence of intrathoracic metastatic disease . The cardiomediastinal silhouette is normal .
    OUTPUT:
    
No acute intrathoracic process . Specifically , there is no evidence of intrathoracic metastatic disease .