Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are normal . There is a right - sided PICC line with tip in the distal SVC . There is volume loss / infiltrate in the left lower lobe that is new compared to prior again seen and more conspicuous than on the prior study are multiple mildly dilated loops of bowel . The patient had a contrast - enhanced CT 1 day ago and therefore there is contrast outlining many of these loops of bowel . However with unusual is that in many areas it appears that both the inside and outside of the bowel wall is visualized . There is no other evidence of free air and therefore this is likely an artifact of the manner in which the contrast has been distributed
    OUTPUT:
    
Volume loss / infiltrate in the left lower lobe mildly dilated loops of small bowel with unusual appearance to the bowel wall . A followup upright film to exclude free air would be helpful