Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Hardware in the cervical spine as well as the right humeral head again noted . Elevated left hemidiaphragm is again noted . There is a tiny metallic density projecting in the soft tissues of the mid back posteriorly . Also noted , is evidence of prior vertebroplasty in the mid thoracic spine . No focal consolidation , large effusion or pneumothorax is seen . The cardiomediastinal silhouette appears stable . Bony structures appear grossly intact .
    OUTPUT:
    
No acute intrathoracic process . Incidental findings as described , unchanged .