Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The medial aspect of the lung apices is not well visualized due to patient positioning . Lungs are otherwise clear of consolidation , sizeable pleural effusion or pneumothorax . Heart size is normal . No acute osseous abnormalities identified . Marked gaseous distension of the stomach is incidentally noted , with elevation of the left hemidiaphragm .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Incidental note is made of marked gaseous distension of the stomach . Gastric decompression is recommended .