Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heterogeneous consolidation is present throughout the right lower lobe and to a lesser extent within the right middle lobe . A small right pleural effusion is also demonstrated . The left lung is clear . The cardiomediastinal silhouette and hilar contours are normal . There is no pneumothorax . No acute osseous abnormality is identified .
    OUTPUT:
    
Heterogeneous right lower and middle lobe consolidation of uncertain chronicity and etiology . In a patient without acute pulmonary symptoms or recent aspiration episode , these findings are concerning for malignancy such as lung adenocarcinoma and a chest CT should be obtained for further characterization .