Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exam is limited by patient positioning with the patient 's chin obscuring a portion of the right apex . Low lung volumes are demonstrated . The heart size is difficult to assess , but is likely within normal limits . The aorta is tortuous . Opacification of the right lung base likely reflects a combination of consolidation with small right pleural effusion . There is mild pulmonary vascular congestion . No pneumothorax is demonstrated . There is gaseous distention of the stomach . Severe S - shaped scoliosis of the thoracolumbar spine is demonstrated with multilevel degenerative changes . Partially imaged are severe degenerative changes of the right glenohumeral joint . Remote left - sided rib fractures are again noted .
    OUTPUT:
    
Limited exam . Right basilar opacity is concerning for pneumonia or aspiration with a small right pleural effusion . Mild pulmonary vascular engorgement . No pneumothorax is identified . Gaseous distention of the stomach incidentally noted .