Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar chest examination of ___ . The heart size is well within normal limits . No configurational abnormality is seen . Unremarkable appearance of thoracic aorta . Pulmonary vasculature is not congested . No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free . Skeletal structures of the thorax are unremarkable . Normal - appearing first ribs bilaterally and no evidence of cervical ribs . No rib effusions . Unremarkable appearance of thoracic spine on the lateral view . Remarkable on previous as well as the present examination are the very prominent soft tissue structures that surround the thoracic skeleton . Obviously the patient is rather adipos . The relatively small heart size matches this finding as heart size is more determined by lean body mass .
    OUTPUT:
    
Stable chest findings , no cardiovascular pulmonary abnormalities , no obvious rib abnormalities that may indicate upper thoracic outlet syndrome .