Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are low in volume with persistent elevation of the left hemidiaphragm again noted . Bibasilar atelectasis is seen with perhaps trace pleural effusions . No definite focal consolidation or pneumothorax is identified . Persistent cardiomegaly is noted with intact sternal wires . Hilar and mediastinal contours are unremarkable . Calcified pleural plaques are re - demonstrated .
    OUTPUT:
    
Low lung volumes without acute findings .