Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low . Hilar prominence is likely secondary to crowding . No focal consolidation , pleural effusion , or pneumothorax is seen . Heart and mediastinal contours are within normal limits given the limitations of low lung volumes . A prominent epicardial fat pad is noted
    OUTPUT:
    
No pleural effusion . The epicardial fat pad accounts for the blunting noted on the accompanying shoulder radiographs .