Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is severely rotated to the left , resulting in on folding of the mediastinum . Surgical clips are noted in the vicinity of the aortic arch and posterior spine , respectively . . There is no evidence of focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . A large hiatal hernia is noted .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .