Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral parenchymal opacities , most pronounced in the right perihilar region is concerning for infection given the provided history . Increased opacities in the bilateral infrahilar regions could be infection or aspiration . Horizontal linear opacity projecting over the right mid lung may be focal scarring . The heart remains enlarged . Pulmonary vascular congestion persists . 9 - mm opacity just to the right of the trachea is probably a vessel on - end , although could also be a nodule . There may be a trace right pleural effusion on the lateral view . No large pleural effusion or pneumothorax . Severe levoconvex scoliosis of the upper thoracic spine , mild dextroconvex scoliosis of the lower thoracic spine , and mild levoconvex scoliosis of the upper lumbar spine is overall unchanged with associated severe distortion of the thoracic cage and appearance of the mediastinum . The bones are diffusely demineralized , making it difficult to assess for fractures ; however , significant loss of vertebral body height at multiple levels in the thoracic spine is noted and appears to have been present on the CT from ___ . The stomach is distended with fluid and gas .
    OUTPUT:
    
1 . Findings concerning for multifocal infection and aspiration . 2 . Multiple thoracic vertebral body compression deformities . 3 . Severe cardiomegaly , unchanged . 4 . Markedly distended stomach .