Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 views were obtained of the chest . The lungs are relatively well expanded . The patient is rotated . There is no focal consolidation or large pleural effusion though small pleural effusions would be difficult to exclude particularly on the left given the patient 's positioning . Heart is normal in size with tortuous aortic contour . Retrocardiac opacity and prominent air column in the upper chest and neck may reflect distended esophagus .
    OUTPUT:
    
No acute intrathoracic process . Possible distended esophagus which could be evaluated with upper GI if indicated . Changes from the preliminary interpretation were emailed to the ED QA nurses ___ ___ .