Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Cardiomediastinal silhouette and hilar contours are unremarkable . Lungs are clear . There is no pleural effusion pneumothorax . There is no distracted rib fracture . Extensive thoracic spine fixation hardware is noted without evidence of hardware fracture .
    OUTPUT:
    
No acute cardiopulmonary process . No distracted rib fracture .