Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is markedly flexed and rotated which limits sensitivity of the exam . Within these limitations , However , there are no lobar consolidations . There is no pneumothorax or pleural effusion . Hilar and cardiomediastinal contours are grossly normal . Estimate of heart size is difficult due to positioning . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
No evidence of pneumonia in this limited study due to poor patient positioning .