Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes accentuate the cardiac silhouette and bronchovascular structures , limiting assessment of the patient 's cardiovascular status . Streaky peribronchiolar bibasilar opacities are associated with apparent bibasilar bronchial wall thickening . No definite pleural effusion . ICD remains in place , with leads in the right ventricle . Mild elevation of left hemidiaphragm is again demonstrated .
    OUTPUT:
    
Bibasilar opacities which could reflect atelectasis , aspiration or developing infectious pneumonia in the appropriate clinical setting .