Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided central venous line is noted with the tip terminating at the upper-mid SVC . Multiple bilateral , lower lobe - predominant , a patchy airspace opacities are noted . There is no large pleural effusion or pneumothorax . The cardiomediastinal silhouette is within normal limits . Note that the left costophrenic angle is excluded from this evaluation .
    OUTPUT:
    
Multifocal patchy airspace opacities worrisome for pneumonia versus aspiration .