Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again fibrotic changes are visualized at the lung apices , consistent with patient 's history of radiation therapy . Previously visualized left upper lobe nodule is not clearly visualized on today 's study and better evaluated on dedicated torso CT from ___ . Post - surgical changes are visualized in the left hemithorax . Otherwise , the lungs are clear with no evidence of consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Known right clavicular fracture is again noted . Otherwise , no acute fractures are identified . Post - surgical changes are visualized in the left upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary process .