Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right pleural effusion has increased and is now moderate in severity . Right upper lobe consolidation has increased with new right lower lobe consolidation . Heart size is persistently mildly enlarged . Aortic tortuosity persists . No pneumothorax is seen
    OUTPUT:
    
Increased right pleural effusion and right lung consolidations , which could represent pneumonia or asymmetric edema . Findings discussed with ___ by ___ by telephone at 11 :39 a .m . on ___ after attending radiologist review .