Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views the chest were provided . Opacities within the lower lungs likely reflect acute on chronic aspiration / pneumonia . Apical scarring is again noted bilaterally . No large effusion or pneumothorax is seen . Overall cardiomediastinal silhouette is grossly unchanged . The imaged bony structures are intact . There is a chronic sternal deformity .
    OUTPUT:
    
Lower lung opacities concerning for aspiration / pneumonia .