Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral , left worse than right lower lobe opacities with blurring of the diaphragm silhouettes could be a combination of edema and / or infection / aspiration . Prominence of the interstitium may correspond to a component of chronic interstitial changes noted on the prior head CT as well as edema and / or infection . The heart remains enlarged . The descending thoracic aorta is slightly tortuous . No evidence of a pneumothorax . The thoracic spine is severely curved to the right , likely reflecting a degree is scoliosis and positional changes . This results in slight distortion of the chest cage and altered appearance of the changes in the hemithorax . No large pleural effusion but there may be a small left pleural effusion . Degenerative changes in both glenohumeral joints as well as the left acromioclavicular joint are severe .
    OUTPUT:
    
1 . Findings consistent with volume overload and / or heart failure . 2 . Sequelae of chronic aspiration and / or concurrent infection is possible in the appropriate clinical situation .