Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is markedly rightward rotated limiting the evaluation . Within these limitations the lungs are grossly clear . There no large pleural effusion or pneumothorax . Heart size is likely normal . The osseous structures are grossly intact although incompletely evaluated on this study .
    OUTPUT:
    
The study is limited by patient positioning . Within this limitation there is no evidence of pneumonia or other acute cardiopulmonary abnormality .