Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP portable upright view of the chest was obtained . The lung bases are underpenetrated . A dual - lead left - sided pacemaker is seen with leads extending to the expected position of the right atrium and likely the right ventricle , although the very inferior aspect of the right ventricular lead is not fully included in the image . There are multiple overlying lead wires . A tubular structure / catheter is seen extending into the left lung apex which takes a sharp curve projecting over the lung apex . A possible residual small left apical pneumothorax is seen ; however , consider followup with removal of external artifact . There are bibasilar opacities , left greater than right , which could be due to underlying infection / pneumonia and / or aspiration . Slight blunting of the left costophrenic angle raises concern for small left pleural effusion . The aorta is calcified and tortuous . The cardiac silhouette is not well assessed through the bibasilar opacities , most likely top normal . There are degenerative changes of the acromioclavicular joints .
    OUTPUT:
    
Bibasilar opacities , left greater than right , raises concern for an infection / pneumonia and / or aspiration . Blunting of the left costophrenic angle may be due to a small pleural effusion . Bibasilar atelectasis . A tubular structure / catheter extending into the left lung apex with possible tiny left apical pneumothorax remaining . However , suggest followup with removal of external artifact for better evaluation . Upright PA and lateral views may be helpful for further evaluation when / if patient able .