Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No free air is detected beneath diaphragm . Air seen under the left hemidiaphragm is more suggestive of gas within the gastric fundus or , less likely , within a splenic flexure . A few air - filled loops of bowel are seen in the lower abdomen . These could represent mildly dilated loops of small bowel , possibly with fluid levels , but are not fully evaluated on this examination . The prominent - this distention seen in the upper abdomen on the film from ___ is not appreciated on the current upright film . The heart is not enlarged . There is no CHF , focal infiltrate or fusion . No pneumothorax is detected . There is moderate sigmoid scoliosis of the thoracolumbar spine , right convex lower thoracic and left convex in the upper lumbar spine , with a rotary component lumbar spine .
    OUTPUT:
    
1 . No acute pulmonary process identified . 2 . No free air detected beneath the diaphragm . 3 . Possible mildly dilated loops of bowel in lower abdomen . Please see comment above . If there is ongoing concern for free air within the abdomen , then further assessment with decubitus views or alternatively , cross - sectional imaging would be recommended .