Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no evidence of intrathoracic metastatic disease or change from recent prior radiograph . No focal consolidation , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is unremarkable . There are no acute skeletal abnormalities .
    OUTPUT:
    
No evidence of intrathoracic metastatic disease .