Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is normal . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . Clips are seen within the left breast and left axillary region . There are moderate multilevel degenerative changes seen in the thoracic spine . Surgical anchors project over the right humeral head .
    OUTPUT:
    
No acute cardiopulmonary abnormality .