Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is near complete opacification of the left hemi thorax with volume loss and residual bubbly lucency in the mid to upper lung . There is significant leftward shift of the cardiomediastinal silhouette . Within the right lung there are scattered nodular and ill - defined opacities potentially concerning for pneumonia . Difficult to exclude a left pleural effusion . No large right effusion . No large pneumothorax . Bony structures appear grossly intact .
    OUTPUT:
    
Near complete opacification of the left hemi thorax with leftward shift of midline structures . Scattered opacities in the right lung , question pneumonia . CT is needed to further assess as malignancy is difficult to exclude .