Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no pleural effusion or pneumothorax . The heart size is normal . There is no focal consolidation to suggest pneumonia . The mediastinal contours are unremarkable . There are multiple loops of small bowel with air - fluid levels which are not fully evaluated .
    OUTPUT:
    
1 . No intrathoracic process . 2 . Dilated loops of air and fluid - filled small bowel are not completely evaluated . Further characterization with abdominal radiograph is recommended .