Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings . Lateral view is limited by motion and patient 's arms . There is no confluent consolidation or effusion . There is no pneumothorax . Cardiac silhouette has enlarged but this is likely accentuated by low lung volumes . No acute osseous abnormalities identified .
    OUTPUT:
    
Lower lung volumes on the current exam without confluent consolidation or definite acute cardiopulmonary process .