Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable supine frontal view of the chest . The patient is very rotated . The lung bases are almost uninterpretable given the low lung volumes and bibasilar atelectasis . Supine positioning is contributing to pulmonary vascular engorgement . There are small bilateral pleural effusions . No pneumothorax is seen . The cardiomediastinal silhouette is enlarged .
    OUTPUT:
    
Lung bases are almost uninterpretable given the low lung volumes and bibasilar atelectasis . Supine positioning is contributing to pulmonary vascular engorgement . Recommend repeat chest radiographs with emphasis on good inspiratory effort to assess for pneumonia or pulmonary edema .