Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post esophagectomy and gastric pull - through with metallic stent in the neo esophagus in unchanged position . The tracheal Y stent is not well assessed on this exam . Right - sided Port - A - Cath tip terminates in the proximal right atrium . The cardiac silhouette size is normal . There are worsening ill - defined opacities within both lung bases which have progressed compared to the previous exam and concerning for aspiration pneumonia . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
Worsening bibasilar ill - defined opacities compatible with worsening aspiration pneumonia .