Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased opacification in the right paramediastinal upper lobe . Patchy consolidations are present at both lung bases . Mild pulmonary vascular congestion is noted . No pneumothorax is detected . The cardiac silhouette is moderately enlarged but stable . There is blunting of the bilateral costophrenic angles , compatible with small bilateral pleural effusions .
    OUTPUT:
    
1 . New right paramediastinal upper lobe and bibasilar opacities may reflect multifocal pneumonia or aspiration . Standard PA and lateral CXR are recommended to better evaluate the right mediastinal region in order to exclude a mass in this region . 2 . Cardiomegaly and mild pulmonary congestion . 3 . Small bilateral pleural effusions .