Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As with most recent radiograph , the patient is significantly rotated , limiting evaluation . Increase in bibasilar opacities , although probably partially explained by low lung volumes and atelectasis , are suspicious for superimposed infection . As previously noted , the aorta is tortuous and the pulmonary artery is enlarged , suggesting pulmonary arterial hypertension . There is no apical pneumothorax and no pleural effusions are seen on this single frontal radiograph .
    OUTPUT:
    
Interval increase in bibasilar opacities , although partly explained by atelectasis , are suspicious for infection . The above results were communicated via telephone by Dr . ___ ___ Dr . ___ to Dr . ___ at 4 :30 p .m . on ___ at the time of discovery .