Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable supine view of the chest . Feeding tube is again noted extending into the left upper abdomen . Since the prior study , there is increasing opacity in the lower lungs , right greater than left . Findings are concerning for potential aspiration or pneumonia . There is a small right pleural effusion . The cardiomediastinal silhouette is unchanged . Bony structures appear grossly intact .
    OUTPUT:
    
Interval development of lower lung opacities , right greater than left concerning for aspiration . Small right pleural effusion also noted .