Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Widened AP diameter of the chest is again noted . Lung volumes are low . There is no focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . Vertebroplasty changes are not again noted in the lower T - spine . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
No acute intrathoracic process .