Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is enlarged . There are increased interstitial markings . Bibasilar opacities could reflect aspiration . There are probable small bilateral pleural effusions . Left - sided pacemaker wires terminate in the right atrium and right ventricle .
    OUTPUT:
    
Increased bibasilar opacities could reflect aspiration .