Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Overlying EKG leads are present . The heart remains moderately enlarged . The aorta is calcified and unfolded . There is opacity in the lower lungs which is concerning for aspiration versus pneumonia . Partially layering pleural effusions difficult to exclude in the correct clinical setting . There is prominence of the pulmonary hila which may indicate a component of central pulmonary vascular congestion . No definite pneumothorax . Bony structures appear intact . Calcification adjacent to the left humeral head is again noted compatible with calcific tendinopathy .
    OUTPUT:
    
Stable cardiomegaly with lower lung opacities concerning for pneumonia / aspiration , versus layering pleural effusions . Pulmonary vascular congestion .