Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are present . A right perihilar opacity appears to have increased in size compared to the prior study , likely reflecting the patient 's known lung malignancy . There are ill - defined bibasilar somewhat consolidative opacities , new in the interval . Elevation of the right hemidiaphragm is chronic . There is a small right pleural effusion , and likely a trace left pleural effusion . No pneumothorax is identified . There is crowding of the bronchovascular structures but no frank pulmonary edema is identified . Evaluation the heart size is difficult given the presence of bibasilar airspace opacities . No acute osseous abnormality is visualized .
    OUTPUT:
    
1 . Worsening right perihilar opacity , likely reflective of the patient 's known lung malignancy . 2 . New bibasilar airspace opacities concerning for infection or aspiration . Small bilateral pleural effusions .