Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are without a focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is normal . No acute fractures are identified . Mild degenerative changes are noted throughout the thoracolumbar spine . Cholecystectomy clips are noted in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process .