Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . The heart size is mildly enlarged but unchanged . Mediastinal and hilar contours are similar . There is crowding of the bronchovascular structures with streaky bibasilar opacities . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen .
    OUTPUT:
    
Low lung volumes with streaky bibasilar opacities most likely reflective of atelectasis . Infection is not completely excluded , and consider repeat radiographs with improved inspiratory effort when the patient is able .