Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph demonstrates an unchanged cardiomediastinal silhouette . There is again extensive bilateral pleural disease , with thickening and fibrosis at the lung apices . Volume loss on the left is unchanged . There is increased thickening in walls of chronic right apical cystic scarring and bronchiectasis . There is likely a small left pleural effusion superimposed on chronic pleural thickening . Increased opacity in the right lower lung is new , and is concerning for pneumonia .
    OUTPUT:
    
1 . Increased opacity in the right lower lung concerning for pneumonia versus atypical edema . 2 . Likely small left pleural effusion . 3 . Change in chronic cystic scarring and bronchiectasis , right upper lobe could either be due to colonization versus reactivation tuberculosis .