Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding chest examination of ___ . The heart size remains unchanged and is within normal limits . No typical configurational abnormality is present . Thoracic aorta of ordinary dimension but mildly elongated . No local contour abnormalities are seen . The pulmonary vasculature is not congested . No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free . On the frontal view , a few metallic dense tiny structures are identified in the thyroid area possibly relating to previous surgery in this area . These findings existed already on the previous chest examination and are unaltered .
    OUTPUT:
    
No evidence of pulmonary congestion , acute infiltrates or pleural effusions on this PA and lateral chest examination in patient with known end - stage renal disease .