Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . No prior . Low lung volumes are noted . There is no pleural effusion or confluent consolidation identified . Cardiomediastinal silhouette is within normal limits . The left hemidiaphragm is mildly elevated above a stomach distended with large air - fluid level .
    OUTPUT:
    
No focal consolidation based on this study with low lung volumes . Mildly elevated left hemidiaphragm above a stomach distended with large air - fluid level .