Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bedside AP radiograph of the chest shows symmetric consolidation of the bilateral lower lungs with the suggestion of air bronchograms . Minimal pulmonary vascular congestion is also present . The heart is not enlarged . The hila and mediastinal contours are normal . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Bilateral lower lobe pneumonia or non-cardiogenic pulmonary edema , depending on the clinical context . As per Dr . ___ , ___ patient has missed her scheduled dialysis appointment , therefore this may represent pulmonary edema secondary to a derangement in fluid - electrolyte homeostasis . The study can be repeated following dialysis to demonstrate improvement .