Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Heart is enlarged , allowing for technique . The lung volumes are low with bronchovascular crowding obscuring the lung bases . The upper lungs appear well aerated . No pneumothorax is seen . Bony structures are intact .
    OUTPUT:
    
Limited exam with cardiomegaly and lower lung bronchovascular opacities in the setting of low lung volumes . If strong clinical concern for pneumonia , recommend repeat with more optimal inspiratory effort .