Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is again mildly enlarged . There is similar mild unfolding of the thoracic aorta as well as calcification visualized along the arch . There is a new small - to - moderate right - sided pleural effusion that prominently layers along the right lateral chest wall as well as new patchy right basilar opacity obscuring the left hemidiaphragm . The lateral view suggests a developing posterior consolidation in the right lower lobe . There are also new small patchy left basilar opacities obscuring the lateral side of the left hemidiaphragm . Fissures are also thickened reflecting pleural fluid on the right . Mild degenerative changes are similar along the lower thoracic spine .
    OUTPUT:
    
Developing right lower lobe consolidation with a new right - sided pleural effusion . Patchy left basilar atelectasis , not specific and potentially reflecting either an additional focus of pneumonia or atelectasis .