Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: All lines and tubes are unchanged in comparison to the prior chest radiograph . There is new patchy opacification in the right upper lung . The left upper lung is clear . The bilateral pleural effusions with compressive atelectasis appear unchanged . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . New patchy opacification in right upper lung , concerning for aspiration . 2 . Unchanged positioning of all lines and tubes . 3 . Unchanged bilateral pleural effusions with compressive atelectasis .