Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Redemonstrated are a right - sided chest tube and an upper esophageal drain . There is no evidence of pneumothorax . As compared to the study dated ___ , there has been interval increase in the opacification of the right middle and lower lung , as well as an interval increase in left perihilar opacity , both of which most likely represent aspiration . There is evidence of mild vascular congestion . Stable , bilateral pleural effusions are noted with adjacent atelectatic changes . There is stable widening of the mediastinum from esophagectomy and gastric pull - up procedure . There is evidence of p .o . contrast seen within the bowel in the abdomen and in the retrocardiac region .
    OUTPUT:
    
1 . Interval increase in the opacification of the right middle lobe , right lower lobe , and left perihilar region . These findings are suggestive of aspiration , although an infectious etiology can not be definitively excluded . 2 . Small , bilateral pleural effusions with adjacent atelectasis . 3 . Mild vascular congestion .