Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding . There is a persistent consolidation and volume loss in the right upper and left lower lobes . A small right and small to moderate left pleural effusion are unchanged from the prior study . The cardiomediastinal and hilar contours are unchanged . The thoracic aorta is tortuous . A right - sided internal jugular central venous line ends in the cavoatrial junction . Nasogastric tube courses into the stomach and ends in the duodenum .
    OUTPUT:
    
Persistent consolidation and volume loss in the right upper and left lower lobes , not significantly changed from the prior study . This may represent aspiration or pneumonia in the appropriate clinical setting .