Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 AP views and lateral views of the chest . Low lung volumes are noted with secondary crowding of the bronchovascular markings . Bibasilar opacities are most suggestive of atelectasis . There is no effusion or pneumothorax . Cardiomediastinal silhouette is grossly unremarkable . Hypertrophic changes noted in the spine .
    OUTPUT:
    
Essentially unremarkable chest x-ray noting low inspiratory effort .