Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of focal consolidation , effusion , or vascular congestion . Nodular opacities mentioned on prior exam are compatible with changes at the first costochondral junction bilaterally . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities
    OUTPUT:
    
No acute cardiopulmonary process .