Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates normal heart size . Patchy right lung opacities with widening of the right mediastinum and more dense consolidation of the right lower lung , as well as right pleural effusion and nodular thickening of the pleura is unchanged , again concerning for complex complications of a known right lung malignancy . The left lung remains clear , without pleural effusion . There is no pneumothorax .
    OUTPUT:
    
Unchanged chest radiograph , with right chest findings due to complex complications of a known right lung malignancy . No pulmonary edema . This examination neither suggests nor excludes the diagnosis of acute pulmonary embolism .