Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: the left hemidiaphragm is less distinct , I think left lower lobe consolidation has worsened . Consolidation at the right lung base is less severe , but it is also progressed . Small left pleural effusion is presumed . Findings in the lower lungs could as easily be atelectasis as pneumonia . It is difficult to tell whether there are small nodules in the right lung or I am seeing vessels on end . If the possibility of pulmonary metastasis is clinically relevant , CT scanning should be performed . Feeding tube passes into the stomach and out of view . Moderate cardiac enlargement is longstanding , but there is no pulmonary edema .
    OUTPUT:
    
AP chest compared to ___ :