Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low bilaterally . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unchanged . Healed fractures are noted in the right chest wall laterally . Partially visualized cervical and thoracic spinal fusion hardware are unchanged in alignment and grossly intact .
    OUTPUT:
    
No acute cardiopulmonary process and no evidence of pneumonia .