Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiographs of the chest demonstrate lower lung volumes . The cardiac silhouette appears larger compared to the prior study with increased pulmonary vascularity The lungs are clear . No pleural effusion or pneumothorax .
    OUTPUT:
    
1 . No pneumonia 2 . Increase size of cardiac silhouette with increased pulmonary vascularity may be related to lower lung volumes . Recommend repeating PA and lateral views with better inspiration . An email with the change from the preliminary read and the recommendations was sent to the ED ___ nurses on ___ .