Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is somewhat rotated in position . Obscuration of the left hemidiaphragm and haziness of the left hemithorax are worrisome for a layering pleural effusion with overlying atelectasis . Underlying consolidation not excluded . Patchy right basilar opacity is seen , could be due to atelectasis , infection , aspiration , metastatic disease not excluded . There is prominence of the interstitial markings bilaterally , unclear whether related to fluid overload or chronic disease . The cardiac silhouette appears enlarged . The aorta likely tortuous . No pneumothorax is seen . The bones are diffusely osteopenic with suggestion of chronic deformities of several left - sided ribs , possibly due to prior trauma .
    OUTPUT:
    
Left pleural effusion , underlying consolidation not excluded . Patchy right basilar opacity could be due to pneumonia , aspiration , atelectasis , metastatic disease not excluded . Comparison with prior studies would be helpful for further evaluation . Enlargement of the cardiac silhouette . Several rib deformities may be due to prior trauma . Suggest comparison with prior imaging . Also , suggest repeat when / if patient able , with better patient positioning .