Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Biapical pleural thickening is again noted . Multiple bilateral small pulmonary nodules noted on chest CT are not clearly delineated on this study . Otherwise , the lungs are clear with no evidence of a consolidation , effusion , or pneumothorax . Cardiac and mediastinal silhouettes are normal . No acute fractures are identified . Mild degenerative changes are noted throughout the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .