Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . Detail blurred by ? motion and overlying soft tissues . Multiple sternotomy wires are present , with probable propsthetic valve . ? residual epicardial lead . A Dobbhoff - type tube is present coiled in the stomach , with radiopaque tip overlying the fundus or proximal stomach . Right IJ catheter ( ? dual - lumen catheter ) is present , tip overlying upper RA . Left subclavian central line tip over mid SVC . No pneumothorax detected . There are patchy opacities in both lungs . Some of this may represent some residual CHF , though focal opacity in the left upper zone raises the question of focal pneumonic infiltrate or aspiration . There is continued left lower lobe collapse and / or consolidation . Minimal blunting of the right costophrenic angle is unchanged . A small left effusion can not be excluded .
    OUTPUT:
    
1 . Left lower lobe collapse and / or consolidation , unchanged . 2 . Patchy opacity , left upper zone -- ? residual CHF vs aspiration or pneumonic infiltrate . Attention to this area on followup films is requested . 3 . Dobbhoff coiled in stomach with radiopaque tip over upper stomach .