Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The film quality is sub - optimal due to patient motion . Lung volumes are low , causing exaggeration of the heart size and accentuation of the pulmonary vasculature . The lungs are grossly clear . There are no pleural effusions . No pneumothorax is seen . Heart size is within normal limits . The mediastinal contours are normal .
    OUTPUT:
    
No acute cardiac or pulmonary process .