Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph is a very kyphotic projection . The lung volumes are low and the left hemidiphragm is markedly elevated . Bilateral pleural effusions are moderate - sized at least , but can not be completely described because the level of the diphragm is unknown . Right upper lobe consolidation raises concern for pneumonia . The cardiomediastinal silhouette is not well visualized . Surgical clips , presumably from prior CABG , are noted . There is no pneumothorax .
    OUTPUT:
    
1 . Right upper lobe pneumonia and bilateral pleural effusions . 2 . Technically limited study . Elevated left hemidiaphragm . Consider obtaining true AP view or PA and lateral if possible .