Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion or pneumothorax identified . Surgical clips are again noted to project over the left lung apex . The size the cardiomediastinal silhouette is within normal limits . Marked gaseous distension of the colon and the stomach .
    OUTPUT:
    
No radiographic evidence of acute cardiopulmonary disease . Marked gaseous distention of the visualized bowel .