Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is focal opacity silhouetting the left ventricular apex localizing to the region of the fissure on the lateral view . This is felt most likely to represent a prominent fat pad . Lungs are otherwise clear . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
No definite acute cardiopulmonary process .