FINDINGS:
Low lung volumes.  Left lung apex obscured by overlying neck soft tissue.
 Heart size is normal and unchanged.  The mediastinal and hilar contours are
 normal. The pulmonary vasculature is normal. Lungs are clear.  No pleural
 effusion or pneumothorax is seen. There are no acute osseous abnormalities.

IMPRESSION:
No acute cardiopulmonary abnormality.