Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Lung volumes are low which limits evaluation . Jewelry in the left nipple projects over the left lung base . There is subtle increased opacity in the lower lungs which could represent crowding of bronchovasculature , though the possibility of an early pneumonia is impossible to exclude . No pleural effusion or pneumothorax . Cardiomediastinal silhouette is stable . Bony structures are intact .
    OUTPUT:
    
Subtle opacities in the lower lungs bilaterally could represent early pneumonia in the correct clinical context . Low lung volumes limit the evaluation .