Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . The cardiomediastinal silhouette is within normal limits . S shaped thoracolumbar scoliosis is noted with posterior fixation hardware . Of note , there is a fracture through the left - sided transfixing rod at the uppermost screw , unchanged . Fractured screw also noted in a right - sided pedicle . Surgical clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary process .