Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated somewhat to the right . Given this , no focal consolidation is seen . There is no large pleural effusion or pneumothorax . Cardiac silhouette size is borderline . The aorta is tortuous . The bones are diffusely osteopenic , limiting assessment for subtle fractures .
    OUTPUT:
    
Patient rotated somewhat to the right . Given this , no acute cardiopulmonary process . Please note that there is concern for acute into thoracic injury , including bony injury , chest CT is more sensitive and should be considered .