Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increasing opacity in the right lower and probably middle lobes with air bronchograms concerning for pneumonia including a small suspected pleural effusion . A decubitus view may be useful if further assessment of the effusion is desired . A small nodular focus projecting over the right lung apex reflects a lung nodule seen on the prior CT . A left apical nodule is also visible while other small nodules are not well seen on radiography . Sclerotic metastases involving the T11 and T12 vertebral bodies are not optimally visualized , particularly the L1 metastasis .
    OUTPUT:
    
Increasing right basilar opacification including a pleural effusion .