Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are noted to be moderately hyper distended . No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is seen . The cardiomediastinal silhouette is stable . The aorta is mildly tortuous , unchanged from the prior exam . No acute bony abnormality is detected .
    OUTPUT:
    
No radiographic evidence for acute cardiopulmonary process .