Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiographs . The right paratracheal stripe is enlarged , which may represent a dilated azygos vein from impeded venous return in the IVC shown on concurrent CT of the abdomen / pelvis . Alternatively , this could be lymphadenopathy in this patient with presumed lymphoma . The left hemidiaphragm is elevated from massive splenomegaly with adjacent atelectasis . There is no focal consolidation , pleural effusion , or pneumothorax . Excreted contrast within hydronephrotic left kidney is partially imaged . There is no free intraperitoneal air .
    OUTPUT:
    
No acute cardiopulmonary process . No pneumoperitoneum .