Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are unchanged . New opacities in the left upper lobe and left perihilar region are concerning for aspiration . The cardiomediastinal silhouette is unchanged with severe cardiomegaly and a tortuous and calcified aorta . The mitral valve is heavily calcified . There is no pulmonary edema . The main pulmonary artery is large suggesting possible pulmonary hypertension . There is no pneumothorax or large pleural effusion .
    OUTPUT:
    
1 . New opacities in the left upper lobe and left perihilar region are concerning for aspiration . 2 . Severe cardiomegaly is unchanged . There is no pulmonary edema . The above results were communicated via telephone by Dr . ___ to Dr . ___ at ___ on ___ , 10 minutes after discovery .