Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The lungs are underinflated . A vaugue right middle lobe opacity likely reflects brnchovascular crowding or atelectasis . The hilar and mediastinal contours are within normal limits . There is no pneumothorax , focal consolidation , or pleural effusion .
    OUTPUT:
    
No definite consolidations . Poor inspiratory effort . If there is suspicion for infection , a repeat radiograph can be obtained to better assess the right middle lobe and lung bases .