Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extremely low lung volumes are noted with secondary crowding of the bronchovascular markings . There is no definite focal consolidation or effusion . Calcific density projects over the posterior right fourth rib which could be a calcified granuloma or bone island . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities . Calcific density in the right upper quadrant suggest cholelithiasis .
    OUTPUT:
    
No acute cardiopulmonary process noting low lung volumes .