Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extremely low lung volumes are again noted with secondary crowding of the bronchovascular markings . The lungs however clear focal consolidation , or effusion . The cardiomediastinal silhouette is grossly within normal limits . No acute osseous abnormalities identified noting anterior wedging of lower thoracic vertebral bodies with associated kyphosis .
    OUTPUT:
    
Low lung volumes with bibasilar opacities most likely atelectasis noting infection can not be entirely excluded .