Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in moderate - sized right pleural effusion with mild right lower lobe atelectasis and no interval change in small left pleural effusion . Rounded homogeneous opacity only seen on lateral projects projects over the anterior heart . There is no corresponding finding on the frontal view , so it is not necessarily a real finding . No additional focal opacity , pneumothorax , pulmonary edema , or left pleural effusion . Heart size is partially obscured by pleural parenchymal process and mediastinal contour and hila are otherwise normal . No bony abnormality .
    OUTPUT:
    
1 . Increase in moderate - sized right pleural effusion with mild right lower lobe atelectasis . 2 . Possible pulmonary nodule . Chest CT would provide definitive evaluation . Results conveyed via telephone by Dr .___ to Dr .___ team at 11 :45 AM on ___ within 15 minutes of observation of findings .