Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear stable . The heart is again mild to moderately enlarged . A fiducial marker projecting over the superior segment of the left lower lobe appears unchanged . A group of clips projecting over the left breast right breast is also noted . There no pleural effusions or pneumothorax . The lungs appear clear . The bones appear demineralized . There is similar moderate S - shaped thoracolumbar spinal curvature .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .