Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the left . The cardiac silhouette is top - normal . The lungs are relatively hyperinflated . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . Thoracic kyphosis and multilevel degenerative changes are again seen .
    OUTPUT:
    
The patient is rotated to the left . Otherwise , no acute cardiopulmonary process .