Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment of the lung apices is limited as the patient 's chin and neck project over and obscure this region . Heart size remains within normal limits . The aorta is tortuous . Lungs again demonstrate changes compatible COPD with flattening of the diaphragms and hyperinflation . Bibasilar airspace opacities are re- demonstrated , and most likely reflect atelectasis . Blunting of the costophrenic angles on the lateral view posteriorly likely reflect small bilateral pleural effusions . No pulmonary vascular engorgement is demonstrated . No large pneumothorax is identified .
    OUTPUT:
    
Limited assessment of the lung apices . Small bilateral pleural effusions and bibasilar patchy opacities likely reflective of atelectasis .