Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest tube is again seen in place . Increasing , now moderate right sided pleural effusion with worsening right airspace opacities concerning for right middle and lower lobe pneumonia . Left pleural effusion is similar in appearance . Also seen is some diffuse interstital edema , similar in appearance to the prior study . There is no evidence of pneumothorax . The heart is enlarged and hilar contours are normal appearing .
    OUTPUT:
    
Worsening right middle and lower lobe opacities are suggestive of pneumonia . Enlarging right pleural effusion , now moderate . Findings communicated to Dr . ___ by telephone at 09 :38 on ___ by Dr . ___ .