Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is again seen right upper quadrant surgical clip , presumably due to prior cholecystectomy . There is again seen mild unchanged S - shaped scoliosis of the thoracic spine . There is stable mild degenerative joint disease of the thoracic spine , with mild compression deformity of a single lower thoracic vertebral body , unchanged from prior radiograph in ___ . The cardiomediastinal silhouettes are unchanged in appearance . There is unchanged tortuosity of the thoracic aorta . The bilateral hila are normal . There is no evidence of pulmonary vascular congestion . There are no focal lung consolidations or lung nodules . There is no pneumothorax or effusion .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . Stable chest x-ray .