Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube has been removed and a new tracheostomy ends 4 cm above the carina . Left - sided PICC line is at the cavoatrial junction . NG tube has been removed . Left lower lobe consolidation is stable since ___ . New moderate loculated fluid is in right minor fissure . There is also a new area of increased density in the right lower lung with a focal radiolucency centrally . It is indeterminate if it is a atypical pleural effusion versus a pneumonia or aspiration . Cavitary or necrotizing process can not be excluded . There is no pneumothorax . Cardiac contour is top normal .
    OUTPUT:
    
1 . New tracheostomy is in adequate position . 2 . New moderate right loculated pleural fluid is in the minor fissure . 3 . New increased density in right lower lung with a central lucency . This could be an atypical distribution of pleural effusion ; however , a necrotizing pneumonia is not excluded . A short term followup is suggested , and if persistent , a CT scan could be done . This was discussed with the resident in the ICU team .