Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small left pleural effusion slightly larger today than on ___ , was appreciably larger on ___ . Sharply demarcated region of heterogeneous consolidation and bronchiectasis in the left apex , in the setting of prior left mastectomy and vascular clips denoting dissection in the left axilla is radiation fibrosis . This has not really changed since ___ . A better candidate for acute pneumonia is a relatively round region of a mild increased opacification at the right lung base and peribronchial infiltration just superior to it . Borderline cardiac enlargement has increased since ___ , and there is an increase in vascular congestion and the suggestion of early edema in the left mid lung .
    OUTPUT:
    
1 . Possible right lower lobe pneumonia . 2 . Increase in heart size , left pleural effusion , mild left - sided edema and vascular congestion all point to cardiac decompensation . If abnormality in the left mid lung fails to clear with treatment of heart failure , then a lymphangitic tumor extension should be considered .