Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . Surgical chain sutures seen adjacent to the left heart border . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities , hypertrophic changes are noted in the spine
    OUTPUT:
    
No acute cardiopulmonary process .