Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top - normal . Cardiomediastinal silhouette and hilar contours are unremarkable . Patchy , heterogeneous left greater than right bibasilar opacities worrisome for aspiration pneumonia or atelectasis . There is a new small left - sided pleural effusion in relation to the persistently elevated left hemidiaphragm . Again appreciated is hyperlucency in bilateral lung apices indicative of severe emphysema . There is no pneumothorax . An endotracheal tube is in place with its tip located 7 cm above the carina . Surgical clips project over the right neck .
    OUTPUT:
    
Bibasilar ( left greater than right ) heterogeneous opacities worrisome for aspiration in the appropriate clinical setting . Results were discussed over the telephone with Dr . ___ by Dr . ___ at 4 :31 PM on ___ at time of initial review .