Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The mediastinal and hilar contours are unchanged with evidence of prior esophagectomy and gastric pull - through . Atherosclerotic calcifications within the aortic arch are re - demonstrated . Ill - defined patchy opacities are noted involving the right mid and lower lung fields as well as to a lesser extent within the left lung base , findings which are suspicious for aspiration pneumonia . Blunting of the costophrenic angles posteriorly on the lateral view suggests small bilateral pleural effusions , new in the interval . No pneumothorax or pulmonary vascular congestion is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Multifocal ill - defined patchy opacities involving the right mid lung field and both lung bases concerning for aspiration pneumonia . New small bilateral pleural effusions .