Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Port - A - Cath terminates in the superior vena cava . There is again a gastrostomy tube projecting over the left upper quadrant and cholecystectomy clips projecting over the right upper quadrant of the abdomen . There is a device projecting over the upper mediastinum that presumably lies outside of the patient . The heart is normal in size . An increasing consolidation with marked volume loss of the right upper lobe persists with decreased aeration and greater opacification . Volume loss is again associated with moderate relative elevation of the right hemidiaphragm . In addition , there are vague patchy opacities which are new and widespread within each lung , especially in the left infrahilar region . At least two of these appear nodular , although one of them is suggestive of a nipple shadow . There is no definite pleural effusion or pneumothorax .
    OUTPUT:
    
Increasing opacification of the right upper lobe with substantial volume loss and air bronchograms , in addition to widespread patchy opacities including patchy geographic and nodular opacities in the left lower lung . This appearance could be seen with an infectious etiology including atypical forms of pneumonia . Short - term followup radiographs are recommended to reassess , and particularly if suspicion for discrete nodules were to persist , then chest CT could be considered .