Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right upper lobe is near completely opacified . Parenchymal opacities are also demonstrated in the right lower lobe and left lower lobe . There is probably a small to moderate right pleural effusion . No left pleural effusion . No pneumothorax . The heart is normal in size . Dystrophic ossification in the left shoulder could be sequelae of prior trauma .
    OUTPUT:
    
Right pleural effusion and multi focal pneumonia .