Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . There are low lung volumes which crowd the bronchovascular markings and severely limit evaluation . There is elevation of the left hemidiaphragm . No pleural effusion and no pneumothorax . The cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
Low lung volumes severely limit evaluation and makes it impossible exclude pneumonia . Recommend repeat study at full inspiration if patient can tolerate . These findings were discussed with Dr . ___ by Dr . ___ at 1225 pm on ___ by phone .