Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The patient is significantly rotated to the left on the frontal view . There are increased interstitial markings again seen at the periphery of the right lung . This may be related to prior radiation . Overlying surgical clips in the right chest wall are again noted . Within the limitation of positioning , there is no new confluent consolidation . Mitral annular calcifications are noted . Hypertrophic changes identified in the spine .
    OUTPUT:
    
No definite acute cardiopulmonary process bsed on this limited , rotated exam .