Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single frontal radiograph of the chest was acquired . Lung volumes are slightly low , causing exaggeration of the heart size and accentuation of the pulmonary vasculature . There is consolidative left mid - to - lower lung opacification with streaky opacities in right lower lung , concerning for infection versus aspiration . A concomitant small left pleural effusion is likely . There is no right pleural effusion . No pneumothorax is seen . Although difficult to accurately assess , the heart size is likely mildly enlarged , not significantly changed . No definite rib fractures are identified . There is incompletely assessed spinal fusion hardware .
    OUTPUT:
    
1 . Bilateral lower lung opacities , left greater than right , concerning for infection or aspiration . 2 . Small left pleural effusion . 3 . Mild cardiac enlargement .