Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the right - sided internal jugular catheter . The trachea is central . The cardiomediastinal contour is within normal limits . Lung volumes are unchanged . No evidence of pulmonary vascular congestion . No consolidation , pneumothorax or pleural effusion seen . There are moderate multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process seen .