Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Again low lung volumes are seen with crowding of the bronchovascular markings . There is no evidence of confluent consolidation or effusion . No overt pulmonary edema is identified . The cardiomediastinal silhouette is prominent , but likely accentuated due to AP technique and low inspiratory volumes . It is unchanged from prior . No acute osseous abnormality is detected .
    OUTPUT:
    
No definite acute cardiopulmonary process based on this exam with low lung volumes .