Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are low in volume giving the appearance of bronchovascular crowding and limiting assessment for pneumonia or pulmonary edema . Trace pleural effusions would also be difficult to exclude . The heart is likely stably enlarged with normal cardiomediastinal contours . No pneumothorax is seen .
    OUTPUT:
    
Low lung volumes limit assessment if continued concern consider repeat study with depper inspiration .