Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . The cardiomediastinal and hilar contours are within normal limits . There is no pleural effusion or pneumothorax . There is fusion hardware in the lower cervical spine .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . This preliminary report was reviewed with Dr . ___ , ___ radiologist .