Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Cervical fixation hardware is again noted in the lower cervical spine . The lungs are clear bilaterally without focal consolidation , effusion , or pneumothorax . The heart and mediastinal contours are normal . Bony structures are intact .
    OUTPUT:
    
No acute intrathoracic process .