Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes accentuate the cardiac silhouette and bronchovascular structures . Heart is likely upper limits of normal in size . Calcified mediastinal and hilar lymph nodes are present as well as probable calcified granulomas at the lung apices or potentially additional calcified nodes . Bibasilar atelectasis is present as well as small left pleural effusion . . There are no acute osseous abnormalities .
    OUTPUT:
    
Low lung volumes with bibasilar opacities suggestive of atelectasis . Coexisting pneumonia is not fully excluded and short - term followup radiographs may be helpful in this regard .