Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . No prior . Low lung volumes are seen . The lungs however are grossly clear . Cardiomediastinal silhouette is within normal limits . Osseous structures are notable for hypertrophic changes in the spine . Significantly distended loops of colon are seen in the upper abdomen . There is no free intraperitoneal air .
    OUTPUT:
    
Distended loops of presumably colon in the upper abdomen , more completely evaluated on concurrent abdominal films . No free intraperitoneal air or acute cardiopulmonary process .