Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable upright chest radiograph demonstrates an enlarged heart with consolidation involving the left lower lobe and along the left lateral pleural surface . Interstitial markings are prominent within bilateral lungs though greater within the left upper lobe . Opacification involving the left apex is additionally present . Findings are concerning for pleural based process including neoplasm . Rib fractures involving the right 8 , 9 , and ___ th ribs noted . Imaged upper abdomen is unremarkable . There is no pneumothorax .
    OUTPUT:
    
Opacification of the left apex as well as the left lower lobe and along the left lateral pleural surface concerning for pleural based disease , neoplasm not excluded . Findings alternatively , and less likely reflect loculated pleural fluid . Please refer to same day Chest CT for further characterization .