Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable with geographic marginated fibrotic changes in the paramediastinal areas consistent with radiation changes . There is no pleural effusion or pneumothorax . There is no focal consolidation concerning for pneumonia . Signs of volume loss are again seen in both upper lobes . Surgical clips are redemonstrated in the upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary process .