Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding portable single view chest examination of ___ . Comparison is also extended to a PA and lateral chest examination of ___ . In the present examination both diaphragms rather high positioned indicative of poor inspirational effort resulting in some crowded appearance of the pulmonary vasculature on the bases . Acute parenchymal infiltrates , however , can not be identified and the lateral and posterior pleural sinuses are free from any fluid accumulation . No acute pulmonary infiltrates are identified anywhere and there is no pneumothorax in the apical area . Skeletal structures of the thorax is grossly unremarkable . In the next preceding portable chest examination , the patient had a right - sided diaphragmatic elevation , the course of which was unknown . No acute pulmonary abnormalities are present . On the PA and lateral chest examination of ___ , the chest findings were considered to be normal . The relatively high positioned diaphragms could be explained by patient 's personal constitution . Comparison with today 's PA and lateral chest examination indicates several gain in body weight .
    OUTPUT:
    
No cardiac enlargement , pulmonary congestion , or acute pulmonary infiltrates .