Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is increased compared to the previous radiograph . Mediastinal contour is unremarkable . There is mild pulmonary vascular congestion , as seen previously . New ill - defined focal opacity is seen within the right upper lobe concerning for pneumonia . Patchy opacities in the lung bases likely reflect areas of atelectasis . No pleural effusion or pneumothorax is present . There are no acute osseous abnormalities . Multiple remote appearing bilateral rib fractures are present .
    OUTPUT:
    
1 . Right upper lobe pneumonia . Followup radiographs after treatment are recommended to ensure resolution of this finding . 2 . Bibasilar atelectasis . 3 . Mild pulmonary vascular congestion .