Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . There is relatively poor inspiratory effort on the current exam . There is secondary crowding of the bronchovascular markings . Cardiac silhouette appears enlarged compared to prior and likely accentuated by poor inspiratory effort and AP technique . Cardiomediastinal silhouette appears similar when compared to prior portable x-ray from ___ . No acute osseous abnormality detected .
    OUTPUT:
    
No definite acute cardiopulmonary process noting poor inspiratory effort .