Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta is tortuous . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is normal . Lungs are chronically hyperinflated with flattening of the diaphragms . Minimal blunting of the left costophrenic angle is likely due to pleural thickening or scarring and is unchanged . No focal consolidation , pleural effusion or pneumothorax is seen . Numerous clips are again noted in the left upper quadrant of the abdomen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .