Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is slight leftward patient rotation on the AP view . Allowing for this , the cardiomediastinal silhouette is stable , with top - normal heart size . The bilateral hila are normal . The lungs are clear . There is no pulmonary vascular congestion . There is no pneumothorax or pleural effusion . DISH related changes of the T - spine noted .
    OUTPUT:
    
No acute findings .