Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port is again noted . The lungs are clear without consolidation , effusion or vascular congestion . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities identified . Degenerative changes with thoracolumbar S - shaped scoliosis is noted .
    OUTPUT:
    
No acute cardiopulmonary process .