Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Low lung volumes limits assessment as well as the patient 's chin projecting over the lung apices and superior mediastinum . Airspace consolidation in the left lower lung is concerning for pneumonia or aspiration . There are likely small bilateral pleural effusions present . No large pneumothorax is seen . Hilar congestion is present . Heart size grossly within normal limits . No acute bony abnormalities .
    OUTPUT:
    
Hilar congestion , left basal opacity concerning for pneumonia or aspiration , small bilateral pleural effusions . Limited exam .