Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable AP view of the chest provided . The heart is massively enlarged . There are trace pleural effusions . Increased opacity in the right mid-to - lower lung is concerning for pneumonia . The left lung appears essentially clear . No pneumothorax . The mediastinal contour appears normal . Bony structures are intact .
    OUTPUT:
    
Massive cardiomegaly with trace bilateral pleural effusions . Opacity within the right mid-to - lower lung is concerning for pneumonia .