Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well inflated and clear . The cardiomediastinal silhouette , hilar contours , and pleural surfaces are normal . There is no pleural effusion or pneumothorax . Visualized upper abdomen is unremarkable . Osseous structures are grossly intact .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . Please note that conventional chest x-ray is not sensitive at detecting bony injuries . If there is persistent clinical concern , bone detail views of focal area of tenderness on exam should be obtained for further evaluation .