Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The posterior spinal fusion hardware of the upper thoracic spine is unchanged . There is no pleural effusion , pneumothorax or focal airspace consolidation . Lungs are hyper inflated . The cardiomediastinal contours are unchanged . A levoscoliosis of the thoracic spine is constant .
    OUTPUT:
    
No acute cardiopulmonary process .