Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . Elevation of the right hemidiaphragm is chronic . Severe rotary kyphoscoliosis of the thoracolumbar spine , convex to the left , is again demonstrated . The cardiac , mediastinal and hilar contours are unchanged , with the heart size within normal limits . No focal consolidation , pleural effusion or pneumothorax is seen .
    OUTPUT:
    
No acute cardiopulmonary process .