Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is in standard position . The left jugular catheter is unchanged with tip ending in mid SVC . The right upper lobe opacity is now larger since yesterday and highly suspicious for pneumonia . The right lower lobe has improved , for reduced vascular congestion . The opacification of the left lung has markedly increased , for increased pleural effusion . Heart size is persistently enlarged , but not fully assessable for left pleural effusion . There is no pneumothorax .
    OUTPUT:
    
Increased right upper lobe opacity with marked increase of left pleural effusion . Minimal improvement of the right base ventilation mainly for reduced vascular congestion . Findings were discussed by Dr . ___ at 3 .___ pm with Dr . ___