Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding AP single view chest examination of ___ . The previously identified new pulmonary parenchymal infiltrate in the right upper lobe area persists and has increased in size . Noted is an additional rather well - demarcated round density in the right lower lung field overlying the sixth right - sided rib anteriorly . It is possible that this later lesion existed already on the preceding study , albeit less prominent in comparison . The possible mild blunting of the right lateral pleural sinus is again noticed , but does not extend into the posterior pleural sinus area which appears free on the lateral view . No pneumothorax has developed . Skeletal structures of the thorax grossly unremarkable .
    OUTPUT:
    
Pneumonic infiltrate in right upper lobe area slightly progressing . Round lesion in right lower lobe area is noted and deserves further followup . Heart size remains within normal limits and no configurational abnormality is identified . No evidence of pulmonary vascular congestion .