Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Exam is somewhat limited due to poor inspiratory effort and patient body habitus . The lungs are clear of large confluent consolidation or effusion . There is no definite pulmonary vascular congestion ; however , there is crowding of the bronchovascular markings which could be due to poor inspiratory effort . Cardiomediastinal silhouette is within normal limits . Median sternotomy wires are identified .
    OUTPUT:
    
No definite acute cardiopulmonary process based on this limited exam as detailed above .