Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . Right chest wall central venous catheter again seen with tip in the right atrium . The lungs are clear of consolidations or effusions . The cardiomediastinal silhouette is within normal limits . Osseous and soft tissue structures are unchanged noting compression deformity in the mid thoracic spine . Surgical clips in the right upper quadrant suggest prior cholecystectomy . Additional tube projects over the left upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process .