Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear given limitation of technique and patient body habitus . There is no effusion or overt pulmonary edema . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes noted in the spine . Surgical clips seen within the upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary process .