Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear but underinflated . There is no pleural effusion , pneumothorax or focal airspace consolidation . The cardiac and mediastinal contours are unremarkable . Hilar structures are normal . The lung apices are not well evaluated given the marked rotation of the patient .
    OUTPUT:
    
Limited study . Repeat exam with better inspiratory effort and better positioning is recommended . Findings sent to the ED QA nurses at 7 :45 on ___ .