Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is somewhat rotated . There are patchy areas of opacity bilaterally which could relate to chronic lung disease . Underlying infection , chronic aspiration , or less likely pulmonary edema not excluded . There is elevation of the right hemidiaphragm . No large pleural effusion is seen . There is no pneumothorax . The cardiac silhouette is top - normal to mildly enlarged . The aorta is tortuous .
    OUTPUT:
    
Patchy reticular opacities bilaterally , most noted in the left mid to lower lung and in the right mid and lower lung , could be relate to chronic lung disease and / or chronic aspiration , however , superimposed infection , less likely mild pulmonary edema not excluded .