Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No definite focal consolidation is seen . There is no pleural effusion or pneumothorax . The patient is rotated somewhat to the right . The cardiac silhouette is top - normal to mildly enlarged . The aorta is somewhat tortuous . Multilevel degenerative changes are seen .
    OUTPUT:
    
No acute cardiopulmonary process . ___ , MD ___=___