Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is no focal consolidation or pneumothorax . Heart size difficult to assess , given presence of effusions . Minimal decrease of bilateral pleural effusions . Severe left lower lobe atelectasis . Lung fields are hyperinflated with tortuous vasculature , suggestive of emphysema . Imaged osseous structures are notable for kyphosis and compression fractures within the thoracic spine . Moderate hiatal hernia . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Minimal decrease of bilateral pleural effusions . Severe left lower lobe atelectasis . Probable emphysema .