Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exam is limited secondary to patient 's accentuated kyphosis and positioning , including rotation to the left . There is no definite consolidation or large effusion . Cardiomediastinal silhouette can not be adequately assessed for reasons stated above . No acute osseous abnormality is detected .
    OUTPUT:
    
Limited exam as detailed above without definite acute cardiopulmonary process .