Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited by patient positioning and the patient 's head and chin obscuring assessment of the lung apices , more so on the right . Heart size appears unchanged , and top - normal . Elevation of the right hemidiaphragm is chronic with streaky opacity in the right lung base compatible with atelectasis . No gross focal consolidation , pleural effusion or large pneumothorax is identified , but assessment again is limited . There is no pulmonary edema . Percutaneous gastrostomy catheter is seen in the left upper abdomen . Diffuse gaseous distension of bowel loops are seen in the upper abdomen . No acute osseous abnormalities detected .
    OUTPUT:
    
Limited assessment due to patient positioning , particularly of the lung apices , more so on the right . Right basilar atelectasis with chronic right hemidiaphragmatic elevation . No other acute cardiopulmonary abnormality grossly identified . Diffuse gaseous distention of bowel loops in the upper abdomen .