Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hypoinflated with bibasilar atelectasis . There is elevation of the left hemidiaphragm . Apparent mild cephalization is accentuated by low lung volumes . Trace right pleural effusion is present . No left pleural effusion or pneumothorax . Heart size , mediastinal contour and hila are unremarkable . Limited assessment of the osseous structures are notable for thoracolumbar degenerative changes with anterior osteophytes and endplate sclerosis .
    OUTPUT:
    
1 . Trace right pleural effusion . 2 . Elevation of left hemidiaphragm may be related to diaphragmatic eventration , or diaphragmatic paralysis . 3 . Low lung volumes with bibasilar atelectasis .