Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Lung volumes are low limiting assessment . Allowing for low lung volumes and crowding of bronchovascular markings , no definite focal consolidation is seen . No large effusion or pneumothorax . Cardiomediastinal silhouette likely within normal limits .
    OUTPUT:
    
Limited exam due to low lung volumes . No overt signs of pneumonia . If there is strong concern for acute process recommend repeat frontal view with more optimized inspiratory effort .