Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are underinflated . There is no focal consolidation or pneumothorax . Blunting of the right costophrenic angle suggests a small pleural effusion . There also appears to be a trace left pleural effusion . Patchy , ill - defined opacities in the lung bases may reflect atelectasis or infection . There is possible mild pulmonary vasculature congestion . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
1 . Low lung volumes with patchy , ill - defined opacities in the lung bases which may reflect atelectasis or infection in the correct clinical setting . Follow up radiographs with better inspiratory effort may provide better evaluation of the lung bases . 2 . Mild pulmonary vascular congestion and small bilateral pleural effusion , larger on the right .