Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed and compared to the prior studies . Lung volumes have improved since ___ . The lungs are clear without focal consolidation , pulmonary edema , vascular congestion or pleural effusion . There is no pneumothorax . Cardiac size is normal . Prominence of the ascending aorta is unchanged since ___ . Relative increased density of the vertebral endplates is consistent with renal osteodystrophy that is unchanged since ___ . A cylindiracal mesh projects over the left shoulder .
    OUTPUT:
    
No acute cardiopulmonary process .