Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is top - normal . The aorta is tortuous . Multifocal airspace opacities in the left lung are grossly unchanged consistent with aspiration pneumonia . Right lower lobe atelectasis has increased . There is no pneumothorax or pleural effusion . There are degenerative changes in the thoracic spine
    OUTPUT:
    
Grossly unchanged multifocal opacities in the left lung consistent with aspiration pneumonia