Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . There is a moderate sized pleural based density , suggestive of a loculated pleural effusion in the right lower thoracic region , resulting in medial displacement of the lung tissue with minimal compressive atelectasis . An ovoid well - defined opacity projecting over the mid lung fissure likely represents a small loculated effusion within the fissure at this level . There is an ill - defined opacity in the right mid - to - upper lung field . A small left - sided pleural effusion is also present . The aorta is tortuous . The heart is mildly enlarged . A tricameral pacemaker is present with the leads ending in appropriate position . There is no evidence of pneumothorax . No subdiaphragmatic free air is identified .
    OUTPUT:
    
1 . Ill defined opacity in the right mid to upper lung suggestive of infectious / inflammatory process . 2 . Right - sided loculated pleural based density suggestive of a loculated effusion with associated atelectasis of the right lung base . Superimposed infection in this region can not be excluded . A small ovoid lesion projecting over the minor fissure is likely loculated fluid in the fissure . CT scan should be considered to further characterize these findings .