Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the previous radiograph , there is unchanged evidence of a left pectoral Port - A - Cath . In the interval , a combined middle lobe and lower lobe atelectasis on the right has occurred . In addition , zone of increased parenchymal density seen both in the region of the right upper lobe bases and the right middle lobe . Moreover , a moderate right pleural effusion is present . On the left , the perihilar areas of the lung also show increased density . The size of the cardiac silhouette has slightly increased as compared to previous radiograph . No evidence of left pleural effusion .
    OUTPUT:
    
The findings suggest right predominant multifocal pneumonia , combined to areas of atelectasis on the right and the right pleural effusion . At the time of observation and dictation , 8 :38 a .m . , on ___ , the referring physician , ___ . ___ , was paged for notification and the findings were subsequently discussed over the telephone .