It better mean the elevator's too crowded, or somebody's getting decked.
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Pressing against you could indicate a desire for closeness or intimacy. It might suggest that he wants to be physically close to you and possibly initiate physical contact. However, it's important to consider the context and his body language to accurately interpret his intentions.
It means there are various possible reasons why he could be doing that. He might have a hard time hearing you. He might be trying to steal your wallet. He might have romantic intentions.