Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear unchanged . The lungs are hyperinflated . There is flattening of the right hemidiaphragm with elevation suggestive of a subpulmonic effusion on the right although not substantial on the lateral view . There is patchy peribronchial opacity projecting over the left mid lung , apparently within the lingula which could be seen in the setting of bronchial inflammation . An oval opacity in the right upper lung , probably in the right upper lobe , appears somewhat more dense than before and may be associated with mucous plugging . Degenerative changes appear similar along the thoracic spine .
    OUTPUT:
    
Suspected right - sided pleural effusion , which may be have increased . Patchy areas of bronchovascular opacities suggesting airway inflammation and possibly mucous plugging .