Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the right and there are low lung volumes . No large pleural effusion is seen although trace pleural effusion be difficult to exclude . There is no pneumothorax . There may be mild vascular congestion . No definite lobar consolidation is identified . Multi - level degenerative changes are seen along the spine . The cardiac silhouette is enlarged .
    OUTPUT:
    
Low lung volumes and patient rotation limit the examination . Given this , there may be mild pulmonary vascular congestion . No definite lobar consolidation seen . Cardiomegaly .