Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top normal . The hilar and mediastinal contours are within normal ___ it s The lungs are without chf , focal consolidations concerning for pneumonia , pleural effusion or pneumothorax . MInimal tspine degenerative changes noted .
    OUTPUT:
    
Heart size is borderline . No acute pulmonary process identified .