Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased density in the right lower lung , concerning for pneumonia . Small right pleural effusion is present , as seen on recent CT . Innumerable bilateral pulmonary nodules are better seen on CT . Lung volumes are low , exaggerating pulmonary vasculature , which is mildly prominent . Heart size is top normal but may be exaggerated by low lung volumes and AP technique . Right hilar fullness may correspond to adenopathy or known malignancy . Sclerosis of the left 10th rib is unchanged , compatible with metastasis .
    OUTPUT:
    
1 . Increased opacity in the right lower lung may correspond to pneumonia . In the setting of right hilar malignancy , post-obstructive process can not be excluded . Small right pleural effusion . This finding was noted by the clinical team in the emergency department dashboard note . This was discussed with Dr . ___ by Dr . ___ by telephone at 1 :20 p .m . on ___ at the time of discovery of this finding . 2 . Multiple bilateral pulmonary nodules , better characterized on CT , compatible with metastases . Osseous metastasis to the left 10th rib .