Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant change from the prior exam . The lungs are well - expanded . No focal consolidation , pulmonary edema , pleural effusion , or pneumothorax . Stable cardiomediastinal silhouette , hila , and pleura . Slightly tortuous aorta , unchanged . Stable in degenerative changes at the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .