Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . There is increased opacity projecting over the right mid to lower lung which may be due to infection or aspiration . Subtle lateral left base opacity may be due to atelectasis or additional site of infection . No large pleural effusion is seen . There is no pneumothorax . The cardiac silhouette is mildly enlarged . Mediastinal contours unremarkable . There is central pulmonary vascular engorgement .
    OUTPUT:
    
Central pulmonary vascular engorgement and mild cardiomegaly . Increased opacity projecting over the right mid to lower lung is concerning for pneumonia and / or aspiration