Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal , pleural and pulmonary structures are unremarkable . A left side central catheter is present with its distal tip in the high SVC . Axillary clips are again noted . Incidental note is made of an azygos lobe . There are moderate degenerative changes of the thoracic spine marked by anterior osteophytosis .
    OUTPUT:
    
No acute cardiopulmonary process .