Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . Cardiomediastinal silhouette and hilar contours are unremarkable . There is no pleural effusion or pneumothorax . Clips are noted within the upper abdomen . Anterior osteophytes are seen in the thoracic spine .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .