Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hypoinflated . There is a small left and probable small right pleural effusion . A focal consolidation in the lower lung bases are difficult to exclude due to overlying soft tissue structures of the chest wall and low lung volumes . The heart size is obscured due to adjacent pleural effusions . There is no pneumothorax .
    OUTPUT:
    
Hypoinflated lungs with bilateral small pleural effusions . Pneumonia is difficult to exclude in the lung bases .