Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are appropriate . The lungs are well aerated without focal consolidation concerning for pneumonia , pleural effusion , or pneumothorax . The pulmonary vasculature is normal , and there is no overt pulmonary edema . The cardiac silhouette is top normal in size , which is unexpected given the patient 's age but may be due in part to AP technique . The mediastinal and hilar contours are within normal limits . The trachea is midline . The visualized upper abdomen is unremarkable . No acute osseous abnormality is detected .
    OUTPUT:
    
1 . No focal consolidation concerning for pneumonia . 2 . Top normal heart size , which is unexpected given the patient 's age . This may be related to AP technique . Therefore followup with PA and lateral radiograph or non - urgent / outpatient echocardiogram is recommended .