Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Relatively high positioned diaphragms indicative of poor inspirational effort causing some crowded appearance of the basal pulmonary vasculature . The heart size is within normal limits and no configurational abnormality is seen . Unremarkable appearance of the aorta . The pulmonary vasculature is not congested and there is no evidence of any acute parenchymal infiltrate . No evidence of pneumothorax in the apical area . Lateral and posterior pleural sinuses are free from any fluid accumulation . Skeletal structures of the thorax grossly within normal limits . When comparison is made with the next preceding chest examination of ___ , findings are unchanged . Already on the preceding examination , a poor inspirational effort was noted with similar crowded appearance of pulmonary vasculature , but absence of any acute infiltrate . Comparison shows that the patient . during today 's examination , was able to accomplish some deeper inspirational effort .
    OUTPUT:
    
No evidence of acute infiltrate or CHF in this ___-year - old female patient with history of cough and hemoptysis .