Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Low lung volumes limit the evaluation with bronchovascular crowding likely accounting for the subtle lower lung opacities . There is no evidence of CHF or definite signs of pneumonia . The cardiomediastinal silhouette appears stable . Bony structures are intact .
    OUTPUT:
    
Limited due to low lung volumes with no definite signs of CHF or pneumonia . If there is strong clinical concern for lower lung pathology , recommend a repeat study with more optimized inspiratory effort .