Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is enlarged . Bilateral pleural effusions with possible adjacent compressive atelectasis is noted . Underlying infectious process can not be completely excluded in the correct clinical setting . There is an approximately 3 .3 x 3 .5 cm mass at the level of the right lower lobe as well as a 2 - cm soft tissue density within the right upper lobe . Mild prominence of the azygos vein is noted .
    OUTPUT:
    
1 . A 3 .5 - cm mass of the right lower lobe as well as a second soft tissue density measuring at least 2 cm in the right upper lobe . Recommend obtaining old images to document stability . If these are not available , then additional imaging such as CT scan should be performed for further evaluation . 2 . Cardiomegaly with bilateral pleural effusions and adjacent compressive atelectasis . Findings discussed with Dr . ___ at ___ on ___ via telephone .