Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unremarkable . A patchy opacity is seen within the right lower lobe , and a retrocardiac opacity is also noted , findings concerning for aspiration . There are small bilateral pleural effusions . No pulmonary vascular congestion is demonstrated . Evaluation of the lung apices is somewhat limited due to the patient 's neck soft tissue projecting over and obscuring this region . However , no large pneumothorax is demonstrated . Multilevel degenerative changes are noted in the imaged thoracolumbar spine . Diffuse demineralization of the osseous structures is present .
    OUTPUT:
    
Bibasilar airspace opacities concerning for aspiration . Small bilateral pleural effusions .