Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . In this patient with known right lung mass better assessed on prior CT , there is increasing right pleural effusion and increasing consolidation in the right lower lung . Pneumonia , aspiration and atelectasis are within the differential . Destructive changes involving several right ribs is secondary to osseous metastatic disease . Left lung is grossly clear though subtle opacities projecting over the left upper and lower lungs may represent nodules . Heart size is difficult to assess though appears grossly stable . Mediastinal contour is unchanged .
    OUTPUT:
    
1 . Worsening right pleural effusion and increasing consolidation in the right lower lung raises concern for pneumonia , aspiration versus atelectasis . 2 . Destructive bony changes involving multiple right sided ribs . 3 . Subtle opacities in the left upper and lower lung may represent metastasis .