Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable single frontal chest radiograph was obtained with the patient in upright position . There is a new increased opacity in the right lung base . There is mild left basilar atelectasis with an associated small left pleural effusion . The mild bilateral pulmonary vascular congestion is unchanged . There is no pneumothorax . The heart size is mildly enlarged . There are multiple left rib fractures as seen on CT from ___ , at least one of which is displaced . The left diaphragm is now elevated compared to study on ___ .
    OUTPUT:
    
1 . Increased right lower lobe opacity , concerning for pneumonia or aspiration pneumonitis . 2 . Mild cardiomegaly with pulmonary vasculature congestion . 3 . Elevation of the left hemidiaphragm could be secondary to partial paralysis , rupture , or intra-abdominal process . 4 . Multiple known left rib fractures , at least one of which is displaced . Findings were discussed with Dr .___ via telephone by Dr .___ at time of observation at 11 am on ___ .