Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large focal consolidation involving the right lower lobe which may also involve the right middle lobe with associated moderate pleural fluid on the right side , all of which are new findings since the prior study ___ ___ . There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size . No pneumothorax is seen . A right - sided port is unchanged in position with the tip terminating in the low SVC . The mediastinal and hilar contours are stable .
    OUTPUT:
    
Probable lobar pneumonia involving the right lower lobe and possibly the right middle lobe with associated parapneumonic effusion . Findings consistent with heart failure . Findings were communicated by Dr . ___ to Dr . ___ by phone at 11 : 11 a .m . on ___ .