Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated consistent with emphysema . Nonspecific bibasilar opacities , right greater than left are again noted and appear similar in comparison to multiple prior studies , with the most recent from ___ . There are no new opacities . There are no pleural effusions or pneumothoraces . Cardiomediastinal and hilar contours are stable with stable tortuosity of the aorta and with atherosclerotic calcifications . Heart size is normal . Pulmonary vasculature is normal .
    OUTPUT:
    
Bibasilar opacities are again noted , right greater than left , and suggestive of possible aspiration pneumonia in the proper clinical setting . Emphysematous changes are again noted .