Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . The lungs are clear bilaterally without focal consolidation , effusion , or pneumothorax . A fat pad adjacent to the left heart border likely accounts for subtle opacity seen . No effusion or pneumothorax is seen . Cardiomediastinal silhouette is normal . Bony structures are intact . Mild degenerative spurring in the mid thoracic spine noted . There are clips in the right upper quadrant .
    OUTPUT:
    
No acute intrathoracic process .