Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . On the frontal radiograph , plate - like atelectasis is appreciated . On the lateral , there is also plate - like atelectasis . There is an increased area of opacity overlying the lower thoracic spine . While this could all be related to atelectatic changes given the low lung volumes , if the patient has any clinical concern of pneumonia , this should be highly considered . There is no free air . There is no pneumothorax . There is no pleural effusion . Cardiac size is top normal . Hilar contours are unremarkable .
    OUTPUT:
    
1 . No evidence of free air . 2 . Right plate - like atelectasis with an additional area of increased density overlying the lower thoracic spine . This may be related to the low lung volumes and atelectasis , although if the patient has clinical symptoms worrisome for pneumonia , this should be considered .