Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated and grossly clear . The cardiomediastinal silhouette , hilar contours , and pleural surfaces are grossly unremarkable . There is no pleural effusion or pneumothorax . Note is made fusion hardware in the lower cervical spine .
    OUTPUT:
    
No evidence of acute pulmonary process .