Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unchanged with a prominent right - sided epicardial fat pad again noted . Pulmonary vascularity is normal and the lungs are clear . No pleural effusion , focal consolidation or pneumothorax is identified . There are no acute osseous abnormalities . Multiple clips are again noted projecting over the left chest wall and upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .