Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear . Heart size is top normal . No pleural effusions or pneumothorax . Aorta is very tortuous , generally large , but not focally aneurysmal . Prominent splenic flexure under the left hemidiaphragm . Moderate right acromioclavicular arthropathy .
    OUTPUT:
    
No acute cardiopulmonary process .