Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Multiple overlying EKG wires are presence somewhat limiting evaluation . Skin ___ along the left flank region noted . There is mild elevation of the left hemidiaphragm . Given the lack of the lateral projection , left lower lobe pathology difficult to exclude . There is likely a small left effusion with left basal atelectasis . Right lung appears clear though the right CP angle is excluded . The heart is top - normal in size . The mediastinal contour is stable with tortuosity of the thoracic aorta noted . No pneumothorax is present . Bony structures are intact .
    OUTPUT:
    
Mild elevation of the left hemidiaphragm . Probable small left effusion with left basal atelectasis . Consider lateral view to better assess for underlying abnormality . Otherwise unremarkable exam .