Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size remains top normal which is unchanged . The mediastinal and hilar contours are normal . Pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . Cholecystectomy clips are again demonstrated in the right upper quadrant of the abdomen .
    OUTPUT:
    
No acute cardiopulmonary process .