Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding chest examination of ___ . On the present examination , the diaphragms are in higher position indicating poor inspirational effort . This coincides with bilateral plate atelectasis , crowded appearance of pulmonary vasculature . Although diaphragms are elevated , there is no conclusive evidence for any pleural effusion accumulating in the lateral pleural sinuses . A right - sided basal density is seen on the frontal view , represents an atelectasis , which has increased in size . In the left hemithorax and mid lung field , a lateral focal parenchymal density has developed and appears to be in contact with the pleural space . On the lateral view , there is evidence of mild blunting at the posterior pleural sinuses . The frontal view does not disclose any pneumothorax on either side in the apical area . Heart size is grossly unchanged and there is no evidence of acute pulmonary vascular congestion .
    OUTPUT:
    
Poor inspirational effort in this patient status post colectomy , with bilateral basal plate atelectasis and crowded pulmonary vasculature . A local peripheral infiltrate has developed on the left lung mid portion . This is not typical for metastases , but could be explained as small pulmonary infarction and has developed during the latest examination interval since ___ .