Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are noted with secondary crowding of the bronchovascular markings . There is no confluent consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Surgical clips seen at the thoracic inlet . No acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary process .