Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left costophrenic angle is blunted likely due to pleural thickening or a small effusion . There is minimal right - sided pleural effusion . The cardiomediastinal silhouette and hila are normal . The lung volumes remain low . There is no focal consolidation to suggest pneumonia .
    OUTPUT:
    
No acute cardiothoracic process . Similar appearance as on ___ .