Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated to the right and there are low lung volumes , making evaluation suboptimal . There is widening of the mediastinum which may be due to a markedly unfolded aorta however , aortic dilatation or underlying mediastinal adenopathy is not excluded . The heart is likely enlarged . Patchy bibasilar opacities , right greater than left could be due to multifocal pneumonia . Recommend followup to resolution and comparison with priors if available . No large pleural effusion is seen . There is no evidence of pneumothorax . There chronic deformities of both shoulders with fluid appear to be chronic dislocations . There is flattening of the superior right humeral head and there may be underlying osteonecrosis .
    OUTPUT:
    
Suboptimal study due to patient rotation and low lung volumes . Widening of the mediastinum may be due to a markedly unfolded aorta , however , aortic dilatation or underlying mediastinal lymphadenopathy is not excluded . The heart is likely enlarged . Right greater than left bibasilar opacities may be due to pneumonia and / or aspiration . Chronic deformities of both shoulders , including bilateral shoulder dislocations . Flattening and sclerosis of the superior right humeral head , osteonecrosis may be present .