Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are relatively low lung volumes with secondary crowding of the bronchovascular markings . There is no confluent consolidation , effusion or pneumothorax . The cardiac silhouette is enlarged similar to prior and also partially accentuated by low lung volumes . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .