Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . The aorta is tortuous . Pulmonary vasculature is not engorged . Focal streaky opacities seen within the right hilar region as well as patchy opacities in the lung bases , more pronounced on the right . There is a small right pleural effusion . No pneumothorax is clearly evident . Extensive degenerative changes are noted involving both glenohumeral joints , more pronounced on the right .
    OUTPUT:
    
Streaky right upper lobe opacity may reflect an area of infection or aspiration . Patchy bibasilar airspace opacities could reflect areas of atelectasis , though additional areas of infection or aspiration can not be excluded .