Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates a triple - lumen internal jugular central venous catheter terminating in the right atrium . Obliquity of the patient , slightly lower lung volumes resulting in vascular crowding , and vascular engorgement result in retrocardiac and right lower lung opacities . In the right clinical setting , superimposed pneumonia can not be excluded . There is no pneumothorax or large pleural effusion .
    OUTPUT:
    
Obliquity of the patient , lower lung volumes , and vascular engorgement result in retrocardiac and right lower lung opacities . In the right clinical setting , superimposed pneumonia can not be excluded . These findings were communicated via telephone by Dr . ___ to Dr . ___ at ___ on ___ .