Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear stable . Lobular thickening along pleural surfaces in the right lung , particularly along the right upper lung suggests malignancy and is more extensive . There is probably a small pleural effusion on the right . There is a new small - to - moderate left - sided pleural effusion with patchy basilar opacity , probably due to atelectasis . Lung fissures are thickened . The interstitium throughout the right lung is also prominent suggesting fluid overload , lymphatic congestion , or possibly carcinomatosis . A medial right basilar opacity appears more dense and confluent than on prior studies , although not clearly more extensive .
    OUTPUT:
    
Findings suggesting progression of malignancy with increased pleural thickening in the right lung . Increased medial right basilar opacity , which may reflect a malignant process with atelectasis , but pneumonia is a consideration . New left - sided pleural effusion , small to moderate .