Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single semi-erect portable AP view of the chest was obtained . The patient is rotated to the left and the patient 's chin partially obscures the left lung apex . There are low lung volumes . Skinfold overlies the chest . There has been interval removal of the previously seen left PICC . There are low lung volumes and bibasilar atelectases . No large pleural effusion is seen , although a small effusion would be difficult to exclude . No focal consolidation or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Patient rotated to the left and skinfold overlies the chest . The patient 's chin partially obscures the left lung apex . Low lung volumes . No focal consolidation . No large pleural effusion , although it would be difficult to exclude small effusion .