Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left chest wall Port - A - Cath is seen with its tip extending to the SVC . Lung volumes are low . There is bronchovascular crowding likely accounting for streaky opacities in the lower lungs . If there is strong concern for pneumonia , repeat necessary with more optimal inspiratory effort . No large effusion or pneumothorax . Cardiomediastinal silhouette is normal . Bony structures appear intact .
    OUTPUT:
    
Limited exam due to low lung volumes . No convincing signs of pneumonia . If there is strong clinical concern , repeat necessary with more optimal inspiratory effort .