Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , there is new pronounced opacity in the right lung . This appears to represent a combination of both pleural and parenchymal opacities extending throughout much of the right lung . A right chest tube is seen at the base of the right lung . An additional tube lies in the region of the right lung base or upper abdomen . No definite pneumothorax , though the possibility of some loculated pleural air at the lung base can not be entirely excluded . Again seen is cardiomegaly . The mediastinum remains midline . On the left , there is some patchy basilar and retrocardiac opacity . No left effusion . No evidence of CHF .
    OUTPUT:
    
1 . Considerable interval change compared with ___ at 14 :21 p .m . , now with patchy diffuse opacities throughout the right lung , likely a combination of parenchymal and pleural changes . 2 . No definite pneumothorax . Please see comment . Right lung opacities discussed with Dr . ___ at approximately 2 : 15 pm on the day of the exam .