<num>. background severe changes of emphysema and biapical fibrosis, the latter suggesting history of sarcoid, with a new left lung opacification concerning for pneumonia. <num>. distended stomach of unclear etiology (attempted intubation, gastroparesis, etc.) as well as possible proximal esophageal dilatation; however, the latter is likely due to apical bullae in rotated patient. <unk> discussed updated findings with dr <unk> at <time>am on <unk> via telephone <num> minutes after interpretation.