Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Position of the chest tube is unchanged . No pneumothorax is positively identified . Low lung volumes are again noted but some opacities are seen particularly in the left mid zone and pneumonic consolidation or aspiration could be present in this region . The degree of failure may be present , but this is hard to evaluate in the presence of low lung volumes . Extensive spinal hardware is present . Gas-filled loops of large and small bowel are present indicating probable ileus .
    OUTPUT:
    
Probable left - sided aspiration pneumonia .