Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new moderate right pleural effusion . There is continued heterogeneous opacification of the bilateral lower lung fields . There is no pneumothorax . The mediastinal contours including mild cardiomegaly are unchanged .
    OUTPUT:
    
New moderate right pleural effusion and interstitial pulmonary edema secondary to CHF exacerbation . In the right clinical setting , an underlying pneumonia should also be considered . Findings discussed with ___ by Dr . ___ ___ telephone on ___ at 14 :30 .