Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in distention of the neoesophagus in this patient status post esophagectomy and pull - up procedure . Additionally , there is a new crescenteric lucency adjacent to the upper lateral wall of the neoesophagus lateral to teh suture line . There remains a collection of contrast within the distal aspect of the neoesophagus . Moderate right pleural effusion has slightly increased in size , with adjacent worsening atelectasis at the right base . Within the left lung , linear opacities at the left lung base are likely predominantly due to atelectasis , but there may be some residual barium outlining the bronchial walls in this region in this patient with previously documented barium aspiration . Within the imaged portion of the upper abdomen , distended loops of bowel are present in both large and small bowel loops with multiple air - fluid levels .
    OUTPUT:
    
Increasing distention of proximal neoesophagus , with a new crescenteric lucency lateral to suture line along lateral wall . Although possibly projectional , short - term radiographic follow up or CT may be helpful to exclude a postop complication in this region . Persistent collection of contrast in distal neoesophagus . Distended loops of bowel are present in both large and small bowel loops with multiple air - fluid levels . Consider a dedicated abdominal series to distinguish post-operative ileus from obstruction