Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . This accentuates the size of the cardiac silhouette which is likely top normal . Mediastinal and hilar contours are unremarkable . Pulmonary vascularity is not engorged , though there is crowding of the bronchovascular structures . No pleural effusion or pneumothorax is identified . Clips are seen within the left breast and axilla . No acute osseous abnormalities are identified .
    OUTPUT:
    
Low lung volumes without acute cardiopulmonary abnormality .