Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post esophagectomy and gastric pull through . The lungs are hyperinflated . There are new patchy airspace opacities in the bilateral lung bases , concerning for aspiration . Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen . A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe . An 8 mm nodular opacity is again seen within the right lower lobe , unchanged from prior exam . There is atelectasis at the left lung base . A chronic right pleural effusion is again noted . There is no left pleural effusion . Cardiomediastinal silhouette is stable . There is no pneumothorax . Visualized osseous structures are unremarkable .
    OUTPUT:
    
1 . New bibasilar patchy airspace opacities , concerning for aspiration pneumonia . 2 . Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule . 3 . Unchanged small right pleural effusion .