Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated and clear . Left costophrenic angle is excluded from the field of view . The cardiomediastinal silhouette and hilar contours are normal . There is no pleural effusion or pneumothorax . Cervical fusion hardware is noted . Osseous structures are grossly intact .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .