Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is prominent . The mediastinum and is not particularly enlarged . There has been removal of the right IJ central line . There is improved aeration at the lung bases . There is a small persistent left - sided pleural effusion . Calcification of the anterior longitudinal ligament of the thoracic spine is consistent with DISH . No focal consolidation or pneumothoraces are seen .
    OUTPUT:
    
No acute cardiopulmonary process .