Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is somewhat limited by patient rotation and incomplete coverage of the right costophrenic angle . Heart size appears grossly within normal limits . Mediastinal and hilar contours are grossly unremarkable . Pulmonary vasculature is not engorged . Lungs appear grossly clear without focal consolidation . No large left - sided pleural effusion is identified . No pneumothorax is seen . No acute osseous abnormality is visualized .
    OUTPUT:
    
Limited study due to patient rotation and exclusion of the right costophrenic angle . Otherwise , no gross acute cardiopulmonary process .