Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . The cardiomediastinal silhouette , hilar contours , and pleural surfaces are normal . No pleural effusion or pneumothorax is present . Clips are noted in the right upper quadrant suggesting a prior cholecystectomy . There is mild anterior osteophyte formation of the imaged thoracic spine .
    OUTPUT:
    
No acute intrathoracic process .