Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The esophagus is markedly distended , suggesting a distal food impaction . Patchy opacities at the right base likely reflect atelectasis . No focal consolidations . No pulmonary edema . Stable appearance of the cardiomediastinal silhouette . No pneumomediastinum or pneumothorax . Persistent small left pleural effusion . Surgical clips are seen within the neck bilaterally due to prior thyroidectomy . Multiple right lateral rib fractures are re- demonstrated . Chronic anterior subluxation of the humeral head with respect to the glenoid bilaterally , stable . Status post cholecystectomy .
    OUTPUT:
    
1 . The esophagus is markedly distended , suggesting distal food impaction . No evidence of pneumomediastinum or pneumothorax . 2 . Patchy opacification at the right base , likely atelectasis . 3 . Small left pleural effusion .