Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 03 :47 are submitted .
    OUTPUT:
    
Blunting of both posterior costophrenic angles likely reflects small effusions . Patchy opacity at the right medial lung base may reflect an area of atelectasis , although pneumonia or aspiration should also be considered . The remaining lungs are clear . Prominent perihilar vasculature and azygos fullness suggest a fluid replete state . No pulmonary edema or pneumothorax . Heart is upper limits of normal in size . If pulmonary embolism remains of clinical concern , chest CTPA is more sensitive .