Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in semi-upright position . High positioned diaphragms indicate poor inspirational effort and obscure major portion of heart silhouette and result in crowded appearance of pulmonary vasculature . There is , however , no evidence of any pulmonary vascular congestion , acute infiltrate , or pneumothorax . The lateral pleural sinuses are free . No pneumothorax is observed in the apical area .
    OUTPUT:
    
No evidence of significant cardiovascular or pulmonary abnormalities , no pleural effusion reaching lateral pleural sinuses . Single view can not exclude minor pleural effusions and depending posterior pleural sinuses .