Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Evaluation is limited due to patient positioning . The lungs appear clear . Cardiac and mediastinal silhouettes are unremarkable . There is levoscoliosis of the mid thoracic spine . No acute fractures are identified . The stomach appears significantly distended .
    OUTPUT:
    
The stomach appears significantly distended . There is no evidence of an acute cardiopulmonary process .