Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . New elevation of the right hemidiaphragm probably facilitates migration of a loop of large bowel above the liver , Chilaiditi 's sign . Atelectasis in the right middle lobe reflects elevated right hemidiaphragm . Lungs are otherwise clear .
    OUTPUT:
    
1 . New elevation of right hemidiaphragm suggests diaphragmatic dysfunction , including phrenic nerve paralysis . Further evaluation by fluoroscopic sniff test or targeted ultrasound can be considered . 2 . No evidence of pneumonia . No pleural effusion . Recommendations : Assess diaphragmatic function with fluoroscopy or ultrasound .