Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are diffuse airspace opacities throughout the left lung as well as a more focal airspace opacity in the right mid lung . There is a small to moderate left pleural effusion and pulmonary vascular congestion . Apparent elevation of left hemidiaphragm could reflect a subpulmonic component of the effusion . There is no pneumothorax . . Heart size is top normal and note is made of distension of the azygos vein . There is no acute osseus abnormality .
    OUTPUT:
    
1 . Asymmetrically distributed airspace opacities predominantly affecting the left lung , concerning for massive aspiration in the setting of recent overdose . Asymmetrical distribution of pulmonary edema is considered less likely . 2 . Pulmonary vascular congestion and small to moderate left pleural effusion .