Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There are low lung volumes . The patient is rotated to the right . The cardiac and mediastinal silhouettes are enlarged , although grossly stable given differences in technique and patient inspiration . Prominence of the hila persists , suggesting fluid overload . There is blunting of the left costophrenic angle raising the concern for small pleural effusion . Lateral views are suboptimal due to underpenetration posteriorly .
    OUTPUT:
    
Patient rotated to the right . Enlarged cardiomediastinal silhouette and fluid overload . Possible small left pleural effusion . Small right pleural effusion would be difficult to exclude .