Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple endobronchial valves project over the right lung . The right upper lobe is not collapsing . Severe emphysema is present . Peribronchial cuffing in the bilateral lower lobes and bilateral basilar opacities right greater than left , are consistent with pneumonia or aspiration . No significant pleural effusion or pneumothorax is identified . The heart size is normal . There are aortic knob calcifications .
    OUTPUT:
    
Peribronchial cuffing and , right greater than left , basilar opacities are consistent with pneumonia or aspiration in the correct clinical setting . Follow - up radiograph in 4 weeks is recommended to document resolution .