Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . Mediastinal contours are unchanged . Worsening consolidative opacities are identified within both lung bases concerning for recurrent aspiration pneumonia . New small right pleural effusion is present . Radiation changes are again re - demonstrated within the right apex . No pulmonary vascular congestion or pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Worsening consolidative opacities within both lung bases concerning for recurrent aspiration pneumonia . Small right pleural effusion is new .