Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a Dobbhoff tube , and the left hemidiaphragm is elevated . There are ill - defined bibasilar opacities , left greater than right and worse on the left from prior exam , possibly reflecting aspiration given the clinical history . The heart is mildly enlarged , and there is also mild central vascular congestion .
    OUTPUT:
    
Ill - defined bibasilar opacities , left greater than right , concerning for aspiration .