Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes with associated lower lobe bronchovascular crowding . Allowing for this , no focal opacities concerning for pneumonia identified . A prominent epicardial fat pad obscuring the left heart apex is unchanged from ___ . Cardiac size can not be properly assessed due to the low lung volumes and AP projection . The aorta is tortuous . Otherwise , there are no cardiomediastinal or hilar contour abnormalities . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No acute cardiopulmonary process .