Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . 1 .6 cm left lower lung nodules unchanged from prior examinations . The cardiomediastinal silhouette is normal . The imaged upper abdomen is unremarkable . The bones are intact except for mild degenerative changes of the thoracic spine .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Left lower lung nodule is similar to recent prior examinations .