Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are clear without effusion , consolidation or pneumothorax . Please note that the posterior costophrenic angles are excluded from the field of view . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities detected .
    OUTPUT:
    
No acute cardiopulmonary process . Consider left shoulder or scapular films for better evaluation of this area given history .