Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with severe emphysematous changes again noted at the lung apices . Left PICC tip terminates in the SVC . Heart size is normal . Mediastinal and hilar contours are unremarkable . New patchy bibasilar airspace opacities are demonstrated , more consolidative on the right . Small right pleural effusion is also likely present . No pulmonary edema is seen . There is no pneumothorax .
    OUTPUT:
    
New bibasilar airspace opacities , more consolidative on the right , concerning for aspiration or infection . Small right pleural effusion .