Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Dialysis catheter and tracheostomy tube again noted . Lung volumes are low limiting assessment . There are small bilateral effusions with bibasilar opacities likely representing atelectasis . Mild edema is likely present . There is no pneumothorax . Overall cardiomediastinal silhouette appears grossly stable . The imaged bony structures appear intact .
    OUTPUT:
    
Findings as above raise concern for effusions , basilar atelectasis and mild edema . Difficult to exclude an early lung base pneumonia .