Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New bibasilar opacities with small pleural effusions are concerning for aspiration or pneumonia . Patient with prior history of sternotomy and mitral valve repair . Mild cardiac enlargement is stable . Left - sided pacemaker is unchanged .
    OUTPUT:
    
New bibasilar opacities are worrisome for aspiration or pneumonia . Dr . ___ has been verbally contacted for the results .