Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no pleural effusion , pneumothorax focal airspace consolidation . The cardiac and mediastinal contours are normal . The hilar structures are unremarkable . Symmetic apical thickening is present . There is mild wedging of the upper lumbar spine which is better seen on the prior CT .
    OUTPUT:
    
No acute cardiopulmonary process .