Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph was obtained , demonstrating low lung volumes . Allowing for apical lordotic projection and lower lung volumes , there is likely no change in the moderate to large right pleural effusion and left lower lung opacities . The remainder of the exam is unchanged .
    OUTPUT:
    
Allowing for apical lordotic projection and lower lung volumes , there is likely no change in the moderate to large right pleural effusion and left lower lung opacities .