Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . No focal consolidation is seen . There is no pleural effusion or pneumothorax . Chain sutures are noted overlying the left mid hemithorax . The aorta is tortuous . The cardiac silhouette is top - normal to mildly enlarged . There is prominence of the central pulmonary vasculature which may be due to central pulmonary vascular engorgement or possibly component of pulmonary arterial hypertension . No displaced fracture is identified . The bilateral humeri are partially imaged , but are seen to be high - riding , which can be seen in rotator cuff disease .
    OUTPUT:
    
No focal consolidation to suggest pneumonia . Partially imaged high - riding bilateral humeri , may be seen with rotator cuff disease .