This paper presents our winning system at the Radiology Report Summarization track of the MEDIQA 2021 shared task. Radiology report summarization automatically summarizes radiology findings into free-text impressions. This year’s task emphasizes the generalization and transfer ability of participating systems. Our system is built upon a pre-trained Transformer encoder-decoder architecture, i.e., PEGASUS, deployed with an additional domain adaptation module to particularly handle the transfer and generalization issue. Heuristics like ensemble and text normalization are also used. Our system is conceptually simple yet highly effective, achieving a ROUGE-2 score of 0.436 on test set and ranked the 1st place among all participating systems.