Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study assessment is somewhat limited due to patient rotation . Allowing for this , the cardiac , mediastinal and hilar contours appear grossly unchanged . Heart size is mildly enlarged . Pulmonary vasculature is normal . Scarring in the lung apices is re - demonstrated . There is no pleural effusion , focal consolidation or pneumothorax identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Somewhat limited exam . No acute cardiopulmonary process .