Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Normal heart size , mediastinal and hilar contours . No focal consolidation , pleural effusion or pneumothorax . The right costophrenic angle is excluded from the image . No free air under the diaphragms .
    OUTPUT:
    
No free air under the diaphragms on this semi-erect radiograph . Left lateral decubitus abdominal radiograph may be considered for more complete assessment for free intraperitoneal air or if warranted clinically .