Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear without focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is unchanged in appearance . Diffuse buckshot fragments are again noted overlying the upper torso , similar to the prior examination .
    OUTPUT:
    
No acute cardiopulmonary process .