Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded . Biapical scarring is noted . The lungs are otherwise clear . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable . Mid-thoracic and lumbar vertebroplasty changes are noted , unchanged from prior exam .
    OUTPUT:
    
No acute cardiopulmonary process .