Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of a gastric tube which extends into the left lower lobe bronchus . Please note that the right costophrenic angle is not included on this radiograph . Patchy bilateral predominantly lower lobe airspace opacities may reflect aspiration and / or multifocal pneumonia . No pleural effusion or pneumothorax identified . A left chest wall single lead pacemaker is present .
    OUTPUT:
    
Interval placement of a gastric tube into the left lower lobe bronchus . Predominantly lower lobe patchy airspace opacities may reflect aspiration and / or multifocal pneumonia . Findings were communicated to and acknowledged by ___ at ___ by ___ , MD .