Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extremely low lung volumes are seen . There is no confluent consolidation . The cardiac silhouette is enlarged but likely accentuated due to low lung volumes and is likely within normal limits . There is no definite free air below the diaphragm .
    OUTPUT:
    
Limited exam with poor inspiratory effort with no visualized free intraperitoneal air .