Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . The patient is rotated to the left and the patient 's chin overlies the left lung apex obscuring the view . There are low lung volumes . In the interval since the prior study , there has been development of a small - to - moderate left pleural effusion with overlying atelectasis . Underlying consolidation can not be entirely excluded . Bibasilar areas of atelectasis are seen . There is mild pulmonary vascular congestion as well . TIPS is noted projecting over the right upper quadrant , unchanged in position since the prior study . Left upper quadrant coils / clips are also seen . The cardiac and mediastinal silhouettes demonstrated a top normal cardiac silhouette and a somewhat tortuous aorta .
    OUTPUT:
    
Low lung volumes . Interval development of small - to - moderate left pleural effusion with overlying atelectasis , underlying consolidation can not be excluded . Pulmonary vascular congestion .