Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are right middle and anterior segment of the right upper lobe involving confluent opacities with an oval component in the upper lobe consistent with pneumonia . There is no pleural effusion and no pneumothorax . The cardiomediastinal shilhouette and hila are normal .
    OUTPUT:
    
Right middle and upper lobe pneumonia with widespread dense consolidation . Short - term follow - up chest radiographs are recommended within six weeks to resolution is recommended to rule out underlying coinciding malignancy noting a area of somewhat oval confluent opacification in the right upper lobe . In a high risk patient chest CT could also be considered preferably with intravenous contrast if that course is pursued .