Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Low lung volumes limits the evaluation due to bronchovascular crowding . Paramediastinal fibrosis likely in part accounts for poor definition of the cardiomediastinal silhouette . The heart size is difficult to assess given low lung volumes . No large consolidation effusion or pneumothorax is seen . Given the ill definition of the pulmonary hila difficult to exclude a component of pulmonary vascular congestion . No overt edema . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Limited exam with possible mild pulmonary vascular congestion . Consider repeat radiograph to better assess with more optimal inspiratory effort .