Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low noted with secondary crowding of the bronchovascular markings . There is no confluent consolidation . There is no large effusion although small effusions are possible . The cardiac silhouette is enlarged accentuated by low lung volumes and not changed from prior . No acute osseous abnormalities
    OUTPUT:
    
No definite acute cardiopulmonary process noting low lung volumes .