Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No Dobbhoff tube is visualized . Expected postoperative findings with surgical clips overlying the right lower lung , multiple right - sided chest tubes , as well as evidence of volume loss on the right , and subcutaneous emphysema . Overall , there is increased dense multifocal opacifications which could represent edema , but without evidence of left hilar engorgement or significant hazy pulmonary vasculature , suspect that this is a worsening multifocal pneumonia . Right perihilar opacification has increased in size , which may indicate post-operative hematoma . Lucencies at the costophrenic and costovertebral angles indicate pneumothorax . Unable to assess for right pleural effusion . Possible new left pleural effusion developing .
    OUTPUT:
    
1 . Increased right perihilar opacification is concerning for postoperative hematoma . Other less likely possibility include expansion of known loculated hydropneumothorax ( chest tube does not appear to be draining this region ) . Findings were discussed with Dr ___ at 11 :30 on ___ at time of discovery . 2 . Increased multifocal opacities are concerning for worsening multifocal pneumonia . 3 . NGT not seen . If placed prior to study , consider coiling out of view in the oropharynx