Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are no focal pulmonary consolidations , pleural effusions or pneumothoraces . Surgical clips are noted incidentally in the left upper quadrant of the abdomen , and degenerative changes of the thoracic spine are noted including anterior bridging osteophytes . The cardiac size is upper limits of normal .
    OUTPUT:
    
No acute cardiopulmonary process .