Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Better inspiration bilaterally . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unchanged and cardiac size likely exaggerated by low lung volumes . Severely distended stomach with air - fluid level and risk of aspiration
    OUTPUT:
    
Severely distended stomach with an air - fluid level and risk of aspiration .