Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph demonstrates low lung volumes with exaggeration of moderate cardiomegaly and bronchovascular crowding . There are again bilateral pleural effusions with associated atelectasis , unchanged . There is no new focal consolidation or pneumothorax .
    OUTPUT:
    
Unchanged chest radiograph , with small bilateral pleural effusions and associated atelectasis . Low lung volumes .