Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: On a background of severe emphysema as well as biapical bulla and fibrotic changes including bronchiectasis , the latter suggestive of sarcoid , there is new left lower and mid lung ground - glass reticular opacification concerning for infection . Reticular pattern likely reflects underlying lung abnormality . There is associated left hemidiaphragm elevation , probably largely due to a significantly distended stomach , though may be in small part explained by an element of inherent collapse within the left lung opacification . The appearance of luncency projecting over the proximal esophagus is likely due to apical bullae in a rotated patient , though esophageal dilatation is another consideration .
    OUTPUT:
    
1 . Background severe changes of emphysema and biapical fibrosis , the latter suggesting history of sarcoid , with a new left lung opacification concerning for pneumonia . 2 . Distended stomach of unclear etiology ( attempted intubation , gastroparesis , etc . ) as well as possible proximal esophageal dilatation ; however , the latter is likely due to apical bullae in rotated patient . ___ discussed updated findings with Dr ___ at 8 :01 AM on ___ via telephone 5 minutes after interpretation .