Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , which limits evaluation of the lower lobes . Prominent pulmonary vessels are similar to before . Moderately enlarged cardiomediastinal silhouette is stable . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Suboptimal inspiration limits evaluation of the lower lobes . Upper lungs are clear . Repeat chest radiograph with full inspiration is recommended .