Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to ___ , the lung volumes have decreased . Lordotic views accentuate the heart size and interstitial opacity . There is mild prominence of the pulmonary vessels and increased interstitial opacities , right worse than left , may suggest pulmonary edema . Right paramediastinal opacity may suggest consolidation . Moderate to severe cardiomegaly appear grossly unchanged . Right - sided PICC appear unchanged in position . There is a right - sided indentation of the lower cervical trachea , which may be due to enlarged thyroid .
    OUTPUT:
    
Right paramediastinal opacity , may indicate pneumonia in the right clinical setting .