Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP view of the chest . Sternotomy wires and mediastinal clips are seen . Enteric tube ends off the inferior portion of the image . A right internal jugular central venous line ends in the mid SVC . Right lower lung opacity with air bronchograms consistent with pneumonia is again seen and unchanged . Patchy opacities in the left lower lung also likely represent infection or aspiration . The endotracheal tube ends 7 cm from the carina . No pneumothorax . The lungs are hyperexpanded which may indicate emphysema .
    OUTPUT:
    
Bilateral lower lung consolidations most likely representing pneumonia , right greater than left , without significant change . Lines and tubes in appropriate position . The lungs are hyperexpanded which may indicate emphysema .