Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were obtained . Per the radiology technologist , the patient was falling asleep during the examination and can not hold head up for optimal AP exam . The patient 's chin overlies the medial lung apices , partially obscuring the view . Underpenetration of the lung bases persists due to overlying soft tissue . There is pulmonary vascular congestion and bibasilar atelectasis . Thickening of the minor fissure persists . Lung base patchy opacity seen on the lateral view could relate to fluid overload , not well appreciated on the frontal view , although underlying consolidation may be present . The cardiac silhouette remains enlarged . Mediastinal and hilar contours are stable . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
Suboptimal as above . Lung base patchy opacity seen on the lateral view could relate to fluid overload , not well appreciated on the frontal view , although underlying consolidation may be present . Cardiac silhouette remains enlarged .