Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left costophrenic angle is not included in field of view . Within this limitation , bilateral low lung volumes are noted . The cardiac silhouette is mildly accentuated by low lung volumes . Mediastinal and hilar contours are unremarkable .? vessel on end vs calcified lymph node at left hilum . Visualized portions of both lungs are clear with no focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
No acute pulmonary process identified .