Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . In this patient with known achalasia and dilated esophagus , there is no change in the appearance of the dilated distal esophagus which contains ingested debris . There is no sign of aspiration . Heart size can not be readily assessed . No large pleural effusion . No pneumothorax . Bony structures intact .
    OUTPUT:
    
Dilated distal esophagus as seen previously containing ingested food contents . No signs of aspiration . Please refer to prior CT torso for full descriptive details of esophageal abnormalities .