Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Limited examination secondary to patient positioning and overlying soft tissues . As compared to prior examination , lung volumes are decreased causing crowding of the bronchovascular structures . There appears to be an ill - defined right perihilar opacity which is difficult to evaluate on this examination , but raises concern for a new focal opacity . Blunting of the bilateral costophrenic angles is likely secondary to atelectasis and pleural fluid .
    OUTPUT:
    
1 . Limited examination secondary to patient positioning , overlying soft tissues and low lung volumes . However , there appears to be a new ill - defined right perihilar opacity which raises concern for a new focal consolidation . Dedicated PA and lateral views would be helpful for further assessment . 2 . Blunting of the bilateral costophrenic angles is likely secondary to pleural fluid and atelectasis .