Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation concerning for pneumonia , pleural effusion or pneumothorax . The pulmonary vasculature is not engorged and there is no overt pulmonary edema . The cardiac silhouette is top normal in size but unchanged . The mediastinal and hilar contours are within normal limits . No acute osseous abnormality is detected .
    OUTPUT:
    
1 . Unchanged top normal heart size . 2 . No acute cardiopulmonary process .